2/4/25, 10:04 AM CPCO CERTIFICATION EXAM LATEST EXAM 2025 | ALL QUESTIONS AND CORRECT ANSWERS | ALREADY GRADED A+ | L…
CPCO CERTIFICATION EXAM LATEST EXAM 2025
| ALL QUESTIONS AND CORRECT ANSWERS |
ALREADY GRADED A+ | LATEST EXAM (JUST
RELEASED)
Save
Terms in this set (76)
Under 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?
C. Health Care Fraud and
Abuse Control Program A. Health Care Fraud Prevention and Enforcement
(HCFAC) 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
https://quizlet.com/1001196437/cpco-certification-exam-latest-exam-2025-all-questions-and-correct-answers-already-graded-a-latest-exam-just-relea… 1/31
,2/4/25, 10:04 AM CPCO CERTIFICATION EXAM LATEST EXAM 2025 | ALL QUESTIONS AND CORRECT ANSWERS | ALREADY GRADED A+ | L…
According 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
A. Promote an
state organizations shall:
organizational culture that
encourages ethical
A. Promote an organizational culture that encourages
conduct and a
ethical conduct and a commitment to compliance
commitment to
with the law.
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.
If 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
B. Tailor those materials to the physician practice
the physician practice
where they will be applied.
where they will be
C. Only select those standards that represent high risk
applied.
issues for the practice.
D. None of the above. Physician practices must create
their own standards of conduct. It would be a
compliance violation to copy another entity's
standards of conduct.
https://quizlet.com/1001196437/cpco-certification-exam-latest-exam-2025-all-questions-and-correct-answers-already-graded-a-latest-exam-just-relea… 2/31
,2/4/25, 10:04 AM CPCO CERTIFICATION EXAM LATEST EXAM 2025 | ALL QUESTIONS AND CORRECT ANSWERS | ALREADY GRADED A+ | L…
As the compliance contact for your physician
practice, you are charged with developing the
policies and procedures related to coding and billing.
When developing these policies and procedures,
which of the following statements should be
included?
A. If a new physician joins the practice and the new
B. For any services billed, physician's NPI has not been received, services
documentation must be performed should be reported using the practice
present in the patient's medical director's NPI.
medical record to support B. For any services billed, documentation must be
the services. present in the patient's medical record to support the
services.
C. To avoid compliance risk, coding for E/M services
should be based solely on medical record
documentation, even if it appears the level of service
is not warranted.
D. For denied services, billing staff should notify the
physician to change the reported diagnosis to allow
for resubmission and payment of the claim.
https://quizlet.com/1001196437/cpco-certification-exam-latest-exam-2025-all-questions-and-correct-answers-already-graded-a-latest-exam-just-relea… 3/31
, 2/4/25, 10:04 AM CPCO CERTIFICATION EXAM LATEST EXAM 2025 | ALL QUESTIONS AND CORRECT ANSWERS | ALREADY GRADED A+ | L…
City Orthopedics, a large physician group practice
employs several physician assistants and nurse
practitioners. There have been several questions by
the physicians on how incident to services should be
billed. The compliance officer has called the
Medicare Administrative Contractor for the practice
and was given some information on how incident to
services should be billed. Because the practice will be
relying on the information received from the
Medicare Administrative Contractor, what steps
D. Document the
should the compliance officer take at the conclusion
conversation and retain
of the call according to the OIG Compliance
the records.
Guidance for Individual and Small Group Physician
Practices?
A. Call someone else at the Medicare Administrative
Contractor to confirm the information received.
B. Send a letter to CMS to confirm the information
provided by the Medicare Administrative Contractor is
correct.
C. Both A and B
D. Document the conversation and retain the records.
Developing effective compliance policies and
procedures is an important part of any compliance
program. To help your practice mitigate compliance
risk, policies and procedures should:
B. Be sure any timeframes
A. Only be one page long to promote understanding
or requirements listed can
by all staff.
be accomplished given
B. Be sure any timeframes or requirements listed can
the practice's resources.
be accomplished given the practice's resources.
C. Be written by consultants because they are more
familiar with the variety of healthcare regulations that
apply to the practice.
D. Both B and C
https://quizlet.com/1001196437/cpco-certification-exam-latest-exam-2025-all-questions-and-correct-answers-already-graded-a-latest-exam-just-relea… 4/31
CPCO CERTIFICATION EXAM LATEST EXAM 2025
| ALL QUESTIONS AND CORRECT ANSWERS |
ALREADY GRADED A+ | LATEST EXAM (JUST
RELEASED)
Save
Terms in this set (76)
Under 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?
C. Health Care Fraud and
Abuse Control Program A. Health Care Fraud Prevention and Enforcement
(HCFAC) 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
https://quizlet.com/1001196437/cpco-certification-exam-latest-exam-2025-all-questions-and-correct-answers-already-graded-a-latest-exam-just-relea… 1/31
,2/4/25, 10:04 AM CPCO CERTIFICATION EXAM LATEST EXAM 2025 | ALL QUESTIONS AND CORRECT ANSWERS | ALREADY GRADED A+ | L…
According 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
A. Promote an
state organizations shall:
organizational culture that
encourages ethical
A. Promote an organizational culture that encourages
conduct and a
ethical conduct and a commitment to compliance
commitment to
with the law.
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.
If 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
B. Tailor those materials to the physician practice
the physician practice
where they will be applied.
where they will be
C. Only select those standards that represent high risk
applied.
issues for the practice.
D. None of the above. Physician practices must create
their own standards of conduct. It would be a
compliance violation to copy another entity's
standards of conduct.
https://quizlet.com/1001196437/cpco-certification-exam-latest-exam-2025-all-questions-and-correct-answers-already-graded-a-latest-exam-just-relea… 2/31
,2/4/25, 10:04 AM CPCO CERTIFICATION EXAM LATEST EXAM 2025 | ALL QUESTIONS AND CORRECT ANSWERS | ALREADY GRADED A+ | L…
As the compliance contact for your physician
practice, you are charged with developing the
policies and procedures related to coding and billing.
When developing these policies and procedures,
which of the following statements should be
included?
A. If a new physician joins the practice and the new
B. For any services billed, physician's NPI has not been received, services
documentation must be performed should be reported using the practice
present in the patient's medical director's NPI.
medical record to support B. For any services billed, documentation must be
the services. present in the patient's medical record to support the
services.
C. To avoid compliance risk, coding for E/M services
should be based solely on medical record
documentation, even if it appears the level of service
is not warranted.
D. For denied services, billing staff should notify the
physician to change the reported diagnosis to allow
for resubmission and payment of the claim.
https://quizlet.com/1001196437/cpco-certification-exam-latest-exam-2025-all-questions-and-correct-answers-already-graded-a-latest-exam-just-relea… 3/31
, 2/4/25, 10:04 AM CPCO CERTIFICATION EXAM LATEST EXAM 2025 | ALL QUESTIONS AND CORRECT ANSWERS | ALREADY GRADED A+ | L…
City Orthopedics, a large physician group practice
employs several physician assistants and nurse
practitioners. There have been several questions by
the physicians on how incident to services should be
billed. The compliance officer has called the
Medicare Administrative Contractor for the practice
and was given some information on how incident to
services should be billed. Because the practice will be
relying on the information received from the
Medicare Administrative Contractor, what steps
D. Document the
should the compliance officer take at the conclusion
conversation and retain
of the call according to the OIG Compliance
the records.
Guidance for Individual and Small Group Physician
Practices?
A. Call someone else at the Medicare Administrative
Contractor to confirm the information received.
B. Send a letter to CMS to confirm the information
provided by the Medicare Administrative Contractor is
correct.
C. Both A and B
D. Document the conversation and retain the records.
Developing effective compliance policies and
procedures is an important part of any compliance
program. To help your practice mitigate compliance
risk, policies and procedures should:
B. Be sure any timeframes
A. Only be one page long to promote understanding
or requirements listed can
by all staff.
be accomplished given
B. Be sure any timeframes or requirements listed can
the practice's resources.
be accomplished given the practice's resources.
C. Be written by consultants because they are more
familiar with the variety of healthcare regulations that
apply to the practice.
D. Both B and C
https://quizlet.com/1001196437/cpco-certification-exam-latest-exam-2025-all-questions-and-correct-answers-already-graded-a-latest-exam-just-relea… 4/31
