CPCO CERTIFICATION EXAM 2024 WITH 100% CORRECT ANSWERS

C. Health Care Fraud and Abuse Control Program (HCFAC) - AnswerUnder the Health Insurance Portability and Accountability Act of 1996 (HIPAA), Public Law 104-191, what is the name of the national program designed to coordinate Federal, State and local law enforcement activities with respect to health care fraud and abuse? A. Health Care Fraud Prevention and Enforcement Action Team (HEAT) B. Health Care Recovery and Affordable Care Act (HCRAC) C. Health Care Fraud and Abuse Control Program (HCFAC) D. Health Care Civil Penalties Law A. Promote an organizational culture that encourages ethical conduct and a commitment to compliance with the law. - AnswerAccording to the Federal Sentencing Guidelines, "To have an effective compliance and ethics program..., an organization shall exercise due diligence to prevent and detect criminal conduct." The FSGs also state organizations shall: A. Promote an organizational culture that encourages ethical conduct and a commitment to compliance with the law. B. Implement mandatory compliance programs. C. Perform annual audits to detect criminal conduct. D. Immediately report evidence of misconduct to the authorities. B. Tailor those materials to the physician practice where they will be applied. - AnswerIf a physician practice uses another entity's standards of conduct, the practice must: A. Implement the standards of conduct as received because they have already been approved. B. Tailor those materials to the physician practice where they will be applied. C. Only select those standards