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CPCO chapter 1 Questions and Verified Answers
What office is responsible for the HIPAA privacy rule
Ans: Office of civil rights
What does LEP stand for?
Ans: LEP
Dr. Smith had some billing issues at his medical office. He agreed to work with
the OIG to correct the issues. What does the term "CCA" refer to so that you (the
Compliance Officer) can explain to Dr. Smith?
Ans: Certification of Compliance Agreement in which providers agree to
continue to operate their existing compliance program.
In addition to hospitals, what other type of facility did the OIG provide
supplemental compliance program guidance for?
Ans: Supplemental compliance program guidance was published for
nursing facilities in September 2008.
What is required for a compliance program to be effective?
The compliance program needs to be reviewed daily for any compliance
updates.
Regularly review and update the compliance program.
The compliance program must be reviewed by healthcare lawyers.
The compliance program needs to be reviewed weekly for any compliance
updates.
Ans: Regularly review and update the compliance program.
Which entity below could NOT bill for medically unnecessary services?
Answers:
Hospitals
Physicians
Ancillary providers
Patients
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Ans: Patients
Which department is the largest inspector general's office in the federal
government?
Answers:
HHS Office of Inspector General
Office of Civil Rights
Department of Justice
Centers for Medicare & Medicaid Services
Ans: HHS Office of Inspector General
What term would be used for actions that, either directly or indirectly, results in
unnecessary costs to the Medicare program?
Fraud
Mistake
Waste
Abuse
Ans: Abuse
How many elements are required to have a successful compliance program?
Five
Seven
Eight
Nine
Ans: The OIG guidance documents utilize the seven elements of the Federal
Sentencing Guidelines as the basis of an effective compliance program.
Sue works for ABC Family Physicians. The providers at this office ask her to
research the department that helps to protect patients from unfair treatment or
discrimination? What department or agency would that be?
Employment Equality Agency
Office for Civil Rights
Department of Justice
Office of Inspector General
CPCO chapter 1 Questions and Verified Answers
What office is responsible for the HIPAA privacy rule
Ans: Office of civil rights
What does LEP stand for?
Ans: LEP
Dr. Smith had some billing issues at his medical office. He agreed to work with
the OIG to correct the issues. What does the term "CCA" refer to so that you (the
Compliance Officer) can explain to Dr. Smith?
Ans: Certification of Compliance Agreement in which providers agree to
continue to operate their existing compliance program.
In addition to hospitals, what other type of facility did the OIG provide
supplemental compliance program guidance for?
Ans: Supplemental compliance program guidance was published for
nursing facilities in September 2008.
What is required for a compliance program to be effective?
The compliance program needs to be reviewed daily for any compliance
updates.
Regularly review and update the compliance program.
The compliance program must be reviewed by healthcare lawyers.
The compliance program needs to be reviewed weekly for any compliance
updates.
Ans: Regularly review and update the compliance program.
Which entity below could NOT bill for medically unnecessary services?
Answers:
Hospitals
Physicians
Ancillary providers
Patients
, Page | 2
Ans: Patients
Which department is the largest inspector general's office in the federal
government?
Answers:
HHS Office of Inspector General
Office of Civil Rights
Department of Justice
Centers for Medicare & Medicaid Services
Ans: HHS Office of Inspector General
What term would be used for actions that, either directly or indirectly, results in
unnecessary costs to the Medicare program?
Fraud
Mistake
Waste
Abuse
Ans: Abuse
How many elements are required to have a successful compliance program?
Five
Seven
Eight
Nine
Ans: The OIG guidance documents utilize the seven elements of the Federal
Sentencing Guidelines as the basis of an effective compliance program.
Sue works for ABC Family Physicians. The providers at this office ask her to
research the department that helps to protect patients from unfair treatment or
discrimination? What department or agency would that be?
Employment Equality Agency
Office for Civil Rights
Department of Justice
Office of Inspector General
