CPCO STUDY GUIDE QUESTIONS 100% SOLVED

One of the most important elements of an effective compliance program is to have a compliance officer or committee who is__________. -ANSWER empowered If an employee, provider or anyone that deals with Federal or State healthcare dollars has intent to receive payment for services not legitimately rendered this is considered ______________? -ANSWER fraud Joan, as an employee of a healthcare organization, has _________to report erroneous conduct, without repercussions, so that it may be corrected immediately -ANSWER duty person who exposes misconduct, alleged dishonest or illegal activity occurring in an organization is called a______________? -ANSWER relator The compliance program will flounder if employees of the organization are not aware of _________? -ANSWER laws and regulations that pertain to their specific job descriptions When physicians (or their staff) make billing mistakes and errors the most important thing to do is _________? -ANSWER Send a refund Judy is the Compliance Officer for Apple Medical Group. The practice is a small group of providers. Judy wants to have an open door policy as suggested by the OIG, thus she will? -ANSWER Post notices of up-to-date compliance information on the employee bulletin board Participants in the Federal healthcare programs have an obligation to take measures, such as instituting a compliance program, to _________________? -ANSWER detects and prevent fraudulent, abusive and wasteful activities Tim, the Compliance Officer for XYZ Community Hospital, should report to whom? -ANSWER CEO or Board The biller at XYZ Community Hospital wants to win the award every month for posting the most insurance checks. Instead of giving the claims 30-60 days to clear, she bills them again at the end of the month. This is an example of? -ANSWER double billing The OIG has described seven basic components of an effective compliance program f