CPCO chapter 2 exam questions with correct answers

CPCO chapter 2 exam questions with
correct answers

When |is |an |outside |consultant |and/or |legal |counsel |necessary?

Only |when |an |overpayment |is |identified.

There |is |no |requirement |to |hire |a |consultant |or |counsel, |but |such |assistance |may |be |beneficial
|during |certain |phases |of |development |and/or |if |issues |arise.



In |the |beginning |of |plan |development.

Never. |- |CORRECT |ANSWER✔✔-There |is |no |requirement |to |hire |a |consultant |or |counsel, |but |
such |assistance |may |be |beneficial |during |certain |phases |of |development |and/or |if |issues |arise.

There |is |no |requirement |that |outside |consultants |or |legal |counsel |be |involved |in |a |Compliance
|Program. |However, |during |certain |phases |of |program |development |and |implementation, |both |


consultants |and |legal |counsel |may |be |beneficial.



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

for |the |annual |maintenance |of |the |program

except |the |salary |of |the |Compliance |Officer |- |CORRECT |ANSWER✔✔-when |the |expenses |are |a |
result |of |the |imposition |of |a |penalty

A |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.



What |is |the |most |important |aspect |of |a |Compliance |Program?

, Training

Implementation

Development

Discipline |- |CORRECT |ANSWER✔✔-Implementation

Without |adherence |to |the |stated |goals |and |objectives |there |is |no |purpose |to |the |document |
itself. |Having |all |the |components |of |a |compliance |program |in |place |will |not |matter |if |they |are |
not |implemented.



Fraud, |waste, |and |abuse |are |all |areas |that |must |be |controlled |when |providing |services |to |
beneficiaries. |Which |statement |is |TRUE |regarding |fraudulent |billing?

A |series |of |errors |is |considered |fraudulent |billing.

Fraudulent |billing |is |only |an |issue |if |the |erroneous |billing |is |identified |and |not |resolved.

Fraudulent |billing |only |occurs |when |refunds |are |not |issued |in |a |timely |manner.

Fraudulent |billing |is |a |willful |act |with |intent |to |receive |payment |for |services |not |rendered. |- |
CORRECT |ANSWER✔✔-Fraudulent |billing |is |a |willful |act |with |intent |to |receive |payment |for |
services |not |rendered.

Fraudulent |billing |is |willful, |and |is |undertaken |with |the |intent |to |receive |payment |for |services |
not |legitimately |rendered.



Because |of |the |changing |nature |of |healthcare |regulation, |which |statement |is |TRUE |regarding |
the |compliance |program?

The |compliance |program |should |only |be |updated |annually |to |ensure |all |the |changed |
regulations |are |captured.

The |compliance |program |should |be |updated |biannually.

Hiring |a |consultant |to |review |the |program |for |accuracy |is |necessary.

The |compliance |program |should |be |continually |a |work |in |progress. |- |CORRECT |ANSWER✔✔-
The |compliance |program |should |be |continually |a |work |in |progress.

The |program |should |be |monitored |and |updated |at |least |annually, |and |more |likely |more |often, |
to |provide |for |up-to-date |compliance.