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CPCO Chapter 12 Questions and Verified Answers

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CPCO Chapter 12 Questions and Verified Answers CPCO Chapter 12 Questions and Verified Answers

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CPCO Chapter 12 Questions and Verified Answers


Which office would a Compliance Officer contact if they had a question
regarding discrimination in certain healthcare programs?
American Medical Association (AMA)
Centers for Medicare & Medicaid Services (CMS)
Office for Civil Rights (OCR)
Office of Inspector General (OIG)
Ans: Office for Civil Rights (OCR)
OCR helps to protect individuals from discrimination in certain healthcare
and social service programs.

Because it is such a large component of their responsibility, what percentage of
resources does OIG dedicate to Medicare and Medicaid?
70%
80%
85%
90%
Ans: 80%
OIG has historically dedicated 80% of its resources to ensure the integrity of
the Medicare and Medicaid programs.

What is one of the main responsibilities of the CMS regional offices?
Work on quality initiatives
Work on sanctioning providers from CMS
Handling provider complaints about CMS
Educating providers
Ans: Work on quality initiatives
The regional offices work in teams on various projects, including children's
health, quality initiatives, and health plan standards.

What type of insurance is required to cover an employee's work-related injury?
Disability insurance
Liability insurance

, Page | 2


Malpractice insurance
Workers' compensation
Ans: Workers' compensation
Most states have workers' compensation programs and high employer
participation. The workers' compensation laws in each state limit the
liability of participating employers and employees. Employers are usually
required to obtain insurance to cover worker's claims, and to contribute to a
fund for employers who have failed to insure. Smaller employers purchase
insurance from insurance carriers, while large ones sometimes self-insure
and only purchase insurance to cover large losses.

Where can a Compliance Officer from a family practice look for information on
risks specifically associated with his/her practice type?
American College of Cardiology
American College of Physicians
American Academy of Dermatology
American Academy of Family Physicians
Ans: American Academy of Family Physicians
American Academy of Family Physicians (AAFP) is one of the largest medical
organizations and represents more than 115,900 family physicians and
medical students.

Who is charged with the responsibility to assure safe and healthful working
conditions?
CMS
CLIA
OCR
OSHA
Ans: OSHA
Occupational Safety and Health Administration (OSHA) works to assure safe
and healthful working conditions for working men and women by setting
and enforcing standards and by providing training, outreach, education, and
assistance. OSHA is part of the U.S. Department of Labor.

What regulation protects the privacy of identifiable health information?
CLIA
CMS

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