AAPC
CPCO
LATEST READINESS EXAM
Q&S
©2024/2025
,1. Which of the following acts established the requirement
for healthcare entities to implement national standards for
electronic health transactions?
A. Privacy Act of 1974
B. HIPAA
C. HITECH Act
D. Stark Law
Correct Answer: B. HIPAA
Rationale: The Health Insurance Portability and
Accountability Act (HIPAA) requires the establishment of
national standards for electronic health transactions.
2. Under the False Claims Act, which of the following is
considered a potential violation?
A. Disclosing patient information without consent
B. Billing for services not rendered
C. Referring patients to a facility where the provider has a
financial interest
D. Engaging in price fixing among competitors
Correct Answer: B. Billing for services not rendered
Rationale: The False Claims Act prohibits submitting
false claims for payment to the government, including billing
for services not provided.
3. The Stark Law primarily addresses which of the
following issues?
©2024/2025
, A. Patient data privacy
B. Self-referral for Medicare and Medicaid patients
C. Safe harbor regulations
D. Anti-competitive mergers
Correct Answer: B. Self-referral for Medicare and
Medicaid patients
Rationale: The Stark Law restricts physicians from
referring Medicare and Medicaid patients to entities where
they have a financial interest.
4. Which of the following best describes the primary
purpose of the OIG Work Plan?
A. A guideline for healthcare marketing strategies
B. A tool for identifying national health emergencies
C. A roadmap for ongoing oversight and audits of
healthcare facilities
D. A measure for assessing hospital reputations
Correct Answer: C. A roadmap for ongoing oversight
and audits of healthcare facilities
Rationale: The OIG Work Plan outlines the areas of
priority for audits and oversight by the Office of Inspector
General.
5. What does the term "qui tam" refer to in the context of
compliance and government regulation?
A. A type of whistleblower lawsuit under the False Claims
©2024/2025
, Act
B. A requirement for electronic medical records
C. A provision for voluntary self-disclosure of violations
D. An exception under Stark Law
Correct Answer: A. A type of whistleblower lawsuit
under the False Claims Act
Rationale: "Qui tam" allows private individuals to file
lawsuits on behalf of the government for false claims and
share in any recovered damages.
6. Which agency is primarily responsible for enforcing the
HIPAA privacy and security rules?
A. Centers for Disease Control and Prevention (CDC)
B. Food and Drug Administration (FDA)
C. Office for Civil Rights (OCR)
D. Environmental Protection Agency (EPA)
Correct Answer: C. Office for Civil Rights (OCR)
Rationale: The OCR, part of the Department of Health
and Human Services, enforces the privacy and security
rules under HIPAA.
7. In the context of compliance, what is a "covered entity"?
A. Any organization receiving federal grants
B. An organization that provides healthcare and transmits
any health information in electronic form
C. A corporation involved in international trade
D. Any governmental agency
©2024/2025
CPCO
LATEST READINESS EXAM
Q&S
©2024/2025
,1. Which of the following acts established the requirement
for healthcare entities to implement national standards for
electronic health transactions?
A. Privacy Act of 1974
B. HIPAA
C. HITECH Act
D. Stark Law
Correct Answer: B. HIPAA
Rationale: The Health Insurance Portability and
Accountability Act (HIPAA) requires the establishment of
national standards for electronic health transactions.
2. Under the False Claims Act, which of the following is
considered a potential violation?
A. Disclosing patient information without consent
B. Billing for services not rendered
C. Referring patients to a facility where the provider has a
financial interest
D. Engaging in price fixing among competitors
Correct Answer: B. Billing for services not rendered
Rationale: The False Claims Act prohibits submitting
false claims for payment to the government, including billing
for services not provided.
3. The Stark Law primarily addresses which of the
following issues?
©2024/2025
, A. Patient data privacy
B. Self-referral for Medicare and Medicaid patients
C. Safe harbor regulations
D. Anti-competitive mergers
Correct Answer: B. Self-referral for Medicare and
Medicaid patients
Rationale: The Stark Law restricts physicians from
referring Medicare and Medicaid patients to entities where
they have a financial interest.
4. Which of the following best describes the primary
purpose of the OIG Work Plan?
A. A guideline for healthcare marketing strategies
B. A tool for identifying national health emergencies
C. A roadmap for ongoing oversight and audits of
healthcare facilities
D. A measure for assessing hospital reputations
Correct Answer: C. A roadmap for ongoing oversight
and audits of healthcare facilities
Rationale: The OIG Work Plan outlines the areas of
priority for audits and oversight by the Office of Inspector
General.
5. What does the term "qui tam" refer to in the context of
compliance and government regulation?
A. A type of whistleblower lawsuit under the False Claims
©2024/2025
, Act
B. A requirement for electronic medical records
C. A provision for voluntary self-disclosure of violations
D. An exception under Stark Law
Correct Answer: A. A type of whistleblower lawsuit
under the False Claims Act
Rationale: "Qui tam" allows private individuals to file
lawsuits on behalf of the government for false claims and
share in any recovered damages.
6. Which agency is primarily responsible for enforcing the
HIPAA privacy and security rules?
A. Centers for Disease Control and Prevention (CDC)
B. Food and Drug Administration (FDA)
C. Office for Civil Rights (OCR)
D. Environmental Protection Agency (EPA)
Correct Answer: C. Office for Civil Rights (OCR)
Rationale: The OCR, part of the Department of Health
and Human Services, enforces the privacy and security
rules under HIPAA.
7. In the context of compliance, what is a "covered entity"?
A. Any organization receiving federal grants
B. An organization that provides healthcare and transmits
any health information in electronic form
C. A corporation involved in international trade
D. Any governmental agency
©2024/2025
