Correct Answers 100% Solved
TRUE or FALSE: As a CO, you are tasked with identifying risk. Knowing some document
reviews may never apply to your organization, should you review Special Advisory Bulletins?
✔✔TRUE
There are many benefits of having an effective compliance program. Which, of the below, is one
such benefit?
It shows that the practice is making a good faith effort to be compliant.
It provides a means to cover errors until they can be fixed.
It allows employees to retaliate against their employer when they believe they have been treated
unfairly.
It provides a basis for the OIG to create a CIA if a problem is identified. ✔✔a. It shows that the
practice is making a good faith effort to be compliant.
Note: practice question from AAPC CPCO Ch2
What term would be used for actions that, either directly or indirectly, results in unnecessary
costs to the Medicare program, for instance, improper payments for services not medically
necessary? Fraud
,Mistake
Waste
Abuse ✔✔d. Abuse
Abuse - Similar to Fraud, but the difference between fraud and abuse is the individual's intent to
deceive or misrepresent
Fraud - knowingly/intentionally
Waste - misuse/overuse of resources
Note: practice question from AAPC CPCO Ch1
Most expenses related to developing and implementing a compliance program are considered the
cost of doing business and are tax deductible for the organization. Which of the following is
NOT tax deductible?
When the expense costs are more than the national average
When the expenses are a result of the imposition of a penalty
The annual maintenance of the program
The salary of the compliance officer ✔✔b. When the expenses are a result of the imposition of a
penalty.
, CIA is a penalty imposed upon the organization and, as with any other governmental penalty; the
expense of the development, implementation, and maintenance of this program cannot be
included as a deductible expense to the organization.
Note: practice question from AAPC CPCO Ch2
A compliance professional identified an issue with medical necessity. The compliance
professional should collaborate with the:
case manager billing
clerk documentation
specialist
patient account representative ✔✔a. case manager
In development of the annual work plan, physician contract compliance was prioritized as a high-
risk area. When the compliance professional followed up with management, it appeared that the
monitoring identified for this area was never put into place. Which of the following should be the
compliance professional's FIRST step?
Develop a corrective action plan
Identify a statistically valid sample
Conduct a probe sample
Notify legal counsel ✔✔c. Conduct a probe sample