CPCO Chapter 3 Review UPDATED
ACTUAL Exam Questions and CORRECT
Answers
When a compliance program is established, the OIG recommends that a billing company, takes a
___________________ of the Company's operations. - CORRECT ANSWER - Snapshot
Response Feedback:
Rationale: The snapshot will let the company know where the organization is with their
compliance and what their risk areas are.
There has been an increased national focus on ____________. - CORRECT ANSWER -
Quality of health care
Response Feedback:
The trend away from a departmental focus and toward "patient-focused" care in hospitals and
physician practices has been emerging. There is currently a national focus on the quality of care
a patient receives while being treated.
The _______________addresses compliance concerns, such as compensation paid by
laboratories to referring physicians and physician group practices for blood specimen collection,
processing and packaging and for submitting patient data to registry or database. - CORRECT
ANSWER - Special Fraud Alert
Response Feedback:
The OIG has designed and issued special fraud alerts to the health care provider community for
the last 20 years.
Joan is the CO for ABC Provider Group. One of her providers asks her which Federal agency
provides compliance program guidance to providers and covered entities? Joan tells the provider:
- CORRECT ANSWER - Office of Inspector General
, Response Feedback:
The OIG has been providing compliance program guidelines since 1998.
Federal regulations pertinent to billing companies include all except: - CORRECT
ANSWER - Safe Harbor Rules for Billing Companies
Response Feedback:
The "safe harbor" regulations describe various payment and business practices that, although
they potentially implicate the Federal anti-kickback statute, are not treated as offenses under the
statute.
Laura is the CPCO for Angel Nursing home. She is explaining to the staff why is it important for
nursing facilities to track patient outcomes. She states this is to: - CORRECT ANSWER -
accomplish compliance
Response Feedback:
Nursing Facilities can accomplish compliance through development of protocols and through a
system that reviews and analyzes each patient's/resident's outcomes with the protocols.
The OlG Work Plan includes projects to be addressed during the fiscal year (and beyond) by the
all of the following EXCEPT: - CORRECT ANSWER - Office of HHS
Response Feedback:
The OIG Work Plan includes projects to be addressed during the fiscal year (and beyond) by the
Office of Audit Services, Office of Evaluation and Inspections, Office of Investigations, and
Office of Counsel to the Inspector General. The entire current Work Plan or sections of the plan
can be downloaded at the OIG's website at https://oig.hhs.gov/reports-and-
publications/workplan/.
What can result in imprisonment and penalties for providers and covered entities? - CORRECT
ANSWER - Medical fraud
ACTUAL Exam Questions and CORRECT
Answers
When a compliance program is established, the OIG recommends that a billing company, takes a
___________________ of the Company's operations. - CORRECT ANSWER - Snapshot
Response Feedback:
Rationale: The snapshot will let the company know where the organization is with their
compliance and what their risk areas are.
There has been an increased national focus on ____________. - CORRECT ANSWER -
Quality of health care
Response Feedback:
The trend away from a departmental focus and toward "patient-focused" care in hospitals and
physician practices has been emerging. There is currently a national focus on the quality of care
a patient receives while being treated.
The _______________addresses compliance concerns, such as compensation paid by
laboratories to referring physicians and physician group practices for blood specimen collection,
processing and packaging and for submitting patient data to registry or database. - CORRECT
ANSWER - Special Fraud Alert
Response Feedback:
The OIG has designed and issued special fraud alerts to the health care provider community for
the last 20 years.
Joan is the CO for ABC Provider Group. One of her providers asks her which Federal agency
provides compliance program guidance to providers and covered entities? Joan tells the provider:
- CORRECT ANSWER - Office of Inspector General
, Response Feedback:
The OIG has been providing compliance program guidelines since 1998.
Federal regulations pertinent to billing companies include all except: - CORRECT
ANSWER - Safe Harbor Rules for Billing Companies
Response Feedback:
The "safe harbor" regulations describe various payment and business practices that, although
they potentially implicate the Federal anti-kickback statute, are not treated as offenses under the
statute.
Laura is the CPCO for Angel Nursing home. She is explaining to the staff why is it important for
nursing facilities to track patient outcomes. She states this is to: - CORRECT ANSWER -
accomplish compliance
Response Feedback:
Nursing Facilities can accomplish compliance through development of protocols and through a
system that reviews and analyzes each patient's/resident's outcomes with the protocols.
The OlG Work Plan includes projects to be addressed during the fiscal year (and beyond) by the
all of the following EXCEPT: - CORRECT ANSWER - Office of HHS
Response Feedback:
The OIG Work Plan includes projects to be addressed during the fiscal year (and beyond) by the
Office of Audit Services, Office of Evaluation and Inspections, Office of Investigations, and
Office of Counsel to the Inspector General. The entire current Work Plan or sections of the plan
can be downloaded at the OIG's website at https://oig.hhs.gov/reports-and-
publications/workplan/.
What can result in imprisonment and penalties for providers and covered entities? - CORRECT
ANSWER - Medical fraud
