CPCO Chapter 1 Review: Exam | Verified Exam Questions and Answers |
Latest Updated Study Material 2026
Question:
Dr. Smith had some billing issues at his medical office. He agreed to work with the OIG to correct the
issues. What does the term "CCA" refer to so that you (the Compliance Officer) can explain to Dr.
Smith?
Answer:
Certification of Compliance Agreement in which providers agree to continue to operate their existing
compliance program.
Question:
Response Feedback
Answer:
CCA is a Certification of Compliance Agreement which requires providers to certify they will continue
to operate their existing compliance programs for a fixed term.
Question:
Hospital compliance guidance was published by the OIG in February 1998. When was the supplemental
compliance guidance for hospitals published?
Answer:
2005
Question:
Response Feedback
Answer:
Compliance Program Guidance for Hospitals (63 Fed. Reg. 8987; February 23, 1998) Supplemental
Compliance Program Guidance for Hospitals (70 Fed. Reg. 4858; January 31, 2005)
Question:
Kim is the Compliance Officer for a large provider group. One of the billers for the group enters codes
from the encounter form every evening before she goes home and then finishes in the morning when she
returns. She often enters an encounter twice. She usually catches the mistake when the insurance checks
are sent to the office and returns the overpayment to the insurance carrier. This is an example of
Answer:
Abuse
, Question:
Response Feedback
Answer:
CMS goes on to define abuse as "practices that, either directly or indirectly, result in unnecessary costs to
the Medicare Program." Improper billing practices.
Question:
Justin works at the local hospital in the billing department. He wants to learn more about the agency that
fights Medicare Fraud. Which is the best answer below?
Answer:
Office of Inspector General (OIG) Response Feedback: Since its 1976 establishment, OIG has been at the
forefront of the Nation's efforts to fight waste, fraud and abuse in Medicare, Medicaid and more than 300
other HHS programs.
Question:
According to Inspector General Daniel Levinson, what can help reduce enforcement on a provider from a
CIA to a CCA?
Answer:
provider has a robust and effective compliance program
Question:
Response Feedback
Answer:
Inspector General Daniel Levinson disseminated an Open Letter to Healthcare Providers in 2006, in
which he discussed the current enforcement and noted that, "many providers have independently
developed robust and effective compliance programs, which include internal auditing mechanisms. In
appropriate cases, we have agreed to reduce the obligation on providers settling health care fraud matters
by entering into Certification of Compliance Agreements (CCAs), rather than more extensive CIAs.
Question:
In addition to hospitals, what other type of facility did the OIG provide supplemental compliance
program guidance for?
Answer:
Nursing Facilities
Latest Updated Study Material 2026
Question:
Dr. Smith had some billing issues at his medical office. He agreed to work with the OIG to correct the
issues. What does the term "CCA" refer to so that you (the Compliance Officer) can explain to Dr.
Smith?
Answer:
Certification of Compliance Agreement in which providers agree to continue to operate their existing
compliance program.
Question:
Response Feedback
Answer:
CCA is a Certification of Compliance Agreement which requires providers to certify they will continue
to operate their existing compliance programs for a fixed term.
Question:
Hospital compliance guidance was published by the OIG in February 1998. When was the supplemental
compliance guidance for hospitals published?
Answer:
2005
Question:
Response Feedback
Answer:
Compliance Program Guidance for Hospitals (63 Fed. Reg. 8987; February 23, 1998) Supplemental
Compliance Program Guidance for Hospitals (70 Fed. Reg. 4858; January 31, 2005)
Question:
Kim is the Compliance Officer for a large provider group. One of the billers for the group enters codes
from the encounter form every evening before she goes home and then finishes in the morning when she
returns. She often enters an encounter twice. She usually catches the mistake when the insurance checks
are sent to the office and returns the overpayment to the insurance carrier. This is an example of
Answer:
Abuse
, Question:
Response Feedback
Answer:
CMS goes on to define abuse as "practices that, either directly or indirectly, result in unnecessary costs to
the Medicare Program." Improper billing practices.
Question:
Justin works at the local hospital in the billing department. He wants to learn more about the agency that
fights Medicare Fraud. Which is the best answer below?
Answer:
Office of Inspector General (OIG) Response Feedback: Since its 1976 establishment, OIG has been at the
forefront of the Nation's efforts to fight waste, fraud and abuse in Medicare, Medicaid and more than 300
other HHS programs.
Question:
According to Inspector General Daniel Levinson, what can help reduce enforcement on a provider from a
CIA to a CCA?
Answer:
provider has a robust and effective compliance program
Question:
Response Feedback
Answer:
Inspector General Daniel Levinson disseminated an Open Letter to Healthcare Providers in 2006, in
which he discussed the current enforcement and noted that, "many providers have independently
developed robust and effective compliance programs, which include internal auditing mechanisms. In
appropriate cases, we have agreed to reduce the obligation on providers settling health care fraud matters
by entering into Certification of Compliance Agreements (CCAs), rather than more extensive CIAs.
Question:
In addition to hospitals, what other type of facility did the OIG provide supplemental compliance
program guidance for?
Answer:
Nursing Facilities
