CPCO EXAM STUDY GUIDE QUESTIONS
WITH COMPLETE ANSWERS
1.Steve is the compliance officer for orange labs period the CEO asked Steve if
lavatories should develop standards of conduct for employees period how should Steve
respond? - ANSWER-Libraries should develop standards of conduct to clearly define
the policies
2.compliance certification agreements (CCAs) require providers to certify they will
continue to operate their existing compliance program for a fixed term. What is the
typical term of a corporate integrity agreement (CIA)? - ANSWER-three years
3.The OIG has stated that an affective compliance plan can help create which of the
following? - ANSWER-customer loyalty, community support, and financial success
4.The office for civil rights (OCR) has enforcement power for violations occurring as a
result willful neglect. the OCR can now impose civil monetary penalties of up to how
much (prior to inflation) Per HIPAA Privacy regulations violation? - ANSWER-$50,000
5.Which law provides for a civil monetary penalty, up to 15,000 per service, and
exclusion from government programs in any case where a person submits an improper
claim, which has known to have been, or should have been known to have been,
provided through a prohibited referral, and has not refunded the payment? - ANSWER-
stark law
6.Stark law band certain financial arrangements between the referring physician and an
entity that bill is the Medicare or Medicaid programs period and example of this is if a
physician or his... Has a financial relationship with an entity period - ANSWER-All the
above, wife, cousin, friend
7.The compliance officer at a family practice office explains to the board that submitting
claims provided by exclude individuals or entities to government programs such as
Medicare or Medicaid versus a penalty related to: - ANSWER-Civil monetary penalty
8.What does the OIG consider the minimum requirement for a well-publicised guideline
that includes disciplinary steps? - ANSWER-Including the disciplinary steps in the
companies in-house training procedure manuals
9.A medical office does not have a professional coders on staff but has hired one to
provide coding and billing compliance training for the staff period according to the OIG
compliance guideline, when professional coaching staff is not employed, who should be
trained? - ANSWER-Any individual directly involved with billing and coding
,10.Who should a compliance officer report directly to? - ANSWER-The CEO, the
managing positions, and/or board.
11.What is recommended by the OIG when the practice uses an outsourced compliance
officer? - ANSWER-Designating a liaison from the practice to communicate with the
outside compliance officer and the practice has a business service agreement with the
outside compliance officer
12.Failure to respond quickly to suspected or alleged instances of non-compliance
threats the organizations reputation as trustworthy, law-abiding, and ——. - ANSWER-
The organizations ability to participate with federally funded health care plans and or
third-party Payers
13.A compliance officer for an internal medicine group conduct the in-service training for
all new employees period he discusses the five most important federal fraud and abuse
laws these are: - ANSWER-FCA, AKS, stark, exclusion, CMPL
14.Hospitals are prohibited from making payments directly or indirectly to a position as
an inducement to reduce or limit services provided to Medicare or Medicaid patients
period the hospital is subject to a civil money penalties of not more than how much for
each individual for homey payment is made? - ANSWER-$2000
15.What rights do patients have one paying for healthcare services with cash? -
ANSWER-they can restrict the use of their PHI
16.A child arrives at the emergency department appearing being period the patient's
mother states the child was attacked by her spouse period the provider notifies the local
police department period is this a HIPAA violation? - ANSWER-no, PHI can be released
to the local police department in Cases of child abuse
17.The medical records Department at a healthcare centre asks the compliance officer,
how far do they need to go back to give a patient and accounting of the PHI disclosures
on their account? - ANSWER-Six years
18.what rule sets limits with PHI? - ANSWER-The PHI rule
19.On what date were all covered entities required to comply with HIPAA omnibus
rules? - ANSWER-September 23, 2013
20.What covered entity had the most HIPAA a breaches? - ANSWER-Business
associates
21.Are deceased patient records treated differently? - ANSWER-no, they are treated
with the same confidentiality
, 22.A hospital owns an urgent care center located miles from the hospital. In the
preceding calendar year, over 1/3 of the visits provided treatment for emergency
medical conditions on an urgent basis. Is the urgent care center required to see patients
under EMTALA? Why? - ANSWER-Yes; because 1/3 of the visits in the preceding
23.calendar year or for emergency medical conditions, the urgent care center is
considered a dedicated emergency department under EMTALA
24.A Medicare participating hospital that has specialized capabilities such as a burn unit
hospital tells another hospital that they cannot take the burn patient because the
Medicare patient population is costing them too much money. Are they allowed to turn
away a burn patient if they have capacity and the patient is not yet on their property? -
ANSWER-No they must take all patients even OB if they participate in Medicare
25.if a patient in the emergency department asked to be transferred to another hospital,
what is One condition that must be met so that EMTALA is not evoked? - ANSWER-The
consent of the receiving hospital must be obtained
26.Which agency does not have a roll by the FDA in assuring laboratory testing for clear
- ANSWER-HHS
27.Under EMTALA, a treating physician consult other physicians in what ways? -
ANSWER-Telephone, video conferencing, and Internet
28.Which statement is true for clear testing? - ANSWER-1. each laboratory must obtain
a separate class certification *
2. labs must keep our requests or orders on file every year
3. the states and territories message here only to the state guidelines
4. CDC is the one who conducts inspections and enforces regulatory compliance
29.Which certificate is issued to a laboratory that enables the entity to conduct
moderate or high complexity laboratory testing or both until the entity is determined by
survey to comply with CLIA regulations? - ANSWER-Certificate of registration
30.when a hospital send a Patient home or transfers the patient without providing care,
what is this called? - ANSWER-Patient dumping
31.What is not a definition of an occupational exposure? - ANSWER-Bruised skin
32.The compliance officer for internal medicine tells the Board of Directors that... Is the
key factor in the prevention of OSHA injuries and illness - ANSWER-Training and
education
33.A non-smoking building sign - ANSWER-Because of significant exposure to viruses
and other microorganisms
WITH COMPLETE ANSWERS
1.Steve is the compliance officer for orange labs period the CEO asked Steve if
lavatories should develop standards of conduct for employees period how should Steve
respond? - ANSWER-Libraries should develop standards of conduct to clearly define
the policies
2.compliance certification agreements (CCAs) require providers to certify they will
continue to operate their existing compliance program for a fixed term. What is the
typical term of a corporate integrity agreement (CIA)? - ANSWER-three years
3.The OIG has stated that an affective compliance plan can help create which of the
following? - ANSWER-customer loyalty, community support, and financial success
4.The office for civil rights (OCR) has enforcement power for violations occurring as a
result willful neglect. the OCR can now impose civil monetary penalties of up to how
much (prior to inflation) Per HIPAA Privacy regulations violation? - ANSWER-$50,000
5.Which law provides for a civil monetary penalty, up to 15,000 per service, and
exclusion from government programs in any case where a person submits an improper
claim, which has known to have been, or should have been known to have been,
provided through a prohibited referral, and has not refunded the payment? - ANSWER-
stark law
6.Stark law band certain financial arrangements between the referring physician and an
entity that bill is the Medicare or Medicaid programs period and example of this is if a
physician or his... Has a financial relationship with an entity period - ANSWER-All the
above, wife, cousin, friend
7.The compliance officer at a family practice office explains to the board that submitting
claims provided by exclude individuals or entities to government programs such as
Medicare or Medicaid versus a penalty related to: - ANSWER-Civil monetary penalty
8.What does the OIG consider the minimum requirement for a well-publicised guideline
that includes disciplinary steps? - ANSWER-Including the disciplinary steps in the
companies in-house training procedure manuals
9.A medical office does not have a professional coders on staff but has hired one to
provide coding and billing compliance training for the staff period according to the OIG
compliance guideline, when professional coaching staff is not employed, who should be
trained? - ANSWER-Any individual directly involved with billing and coding
,10.Who should a compliance officer report directly to? - ANSWER-The CEO, the
managing positions, and/or board.
11.What is recommended by the OIG when the practice uses an outsourced compliance
officer? - ANSWER-Designating a liaison from the practice to communicate with the
outside compliance officer and the practice has a business service agreement with the
outside compliance officer
12.Failure to respond quickly to suspected or alleged instances of non-compliance
threats the organizations reputation as trustworthy, law-abiding, and ——. - ANSWER-
The organizations ability to participate with federally funded health care plans and or
third-party Payers
13.A compliance officer for an internal medicine group conduct the in-service training for
all new employees period he discusses the five most important federal fraud and abuse
laws these are: - ANSWER-FCA, AKS, stark, exclusion, CMPL
14.Hospitals are prohibited from making payments directly or indirectly to a position as
an inducement to reduce or limit services provided to Medicare or Medicaid patients
period the hospital is subject to a civil money penalties of not more than how much for
each individual for homey payment is made? - ANSWER-$2000
15.What rights do patients have one paying for healthcare services with cash? -
ANSWER-they can restrict the use of their PHI
16.A child arrives at the emergency department appearing being period the patient's
mother states the child was attacked by her spouse period the provider notifies the local
police department period is this a HIPAA violation? - ANSWER-no, PHI can be released
to the local police department in Cases of child abuse
17.The medical records Department at a healthcare centre asks the compliance officer,
how far do they need to go back to give a patient and accounting of the PHI disclosures
on their account? - ANSWER-Six years
18.what rule sets limits with PHI? - ANSWER-The PHI rule
19.On what date were all covered entities required to comply with HIPAA omnibus
rules? - ANSWER-September 23, 2013
20.What covered entity had the most HIPAA a breaches? - ANSWER-Business
associates
21.Are deceased patient records treated differently? - ANSWER-no, they are treated
with the same confidentiality
, 22.A hospital owns an urgent care center located miles from the hospital. In the
preceding calendar year, over 1/3 of the visits provided treatment for emergency
medical conditions on an urgent basis. Is the urgent care center required to see patients
under EMTALA? Why? - ANSWER-Yes; because 1/3 of the visits in the preceding
23.calendar year or for emergency medical conditions, the urgent care center is
considered a dedicated emergency department under EMTALA
24.A Medicare participating hospital that has specialized capabilities such as a burn unit
hospital tells another hospital that they cannot take the burn patient because the
Medicare patient population is costing them too much money. Are they allowed to turn
away a burn patient if they have capacity and the patient is not yet on their property? -
ANSWER-No they must take all patients even OB if they participate in Medicare
25.if a patient in the emergency department asked to be transferred to another hospital,
what is One condition that must be met so that EMTALA is not evoked? - ANSWER-The
consent of the receiving hospital must be obtained
26.Which agency does not have a roll by the FDA in assuring laboratory testing for clear
- ANSWER-HHS
27.Under EMTALA, a treating physician consult other physicians in what ways? -
ANSWER-Telephone, video conferencing, and Internet
28.Which statement is true for clear testing? - ANSWER-1. each laboratory must obtain
a separate class certification *
2. labs must keep our requests or orders on file every year
3. the states and territories message here only to the state guidelines
4. CDC is the one who conducts inspections and enforces regulatory compliance
29.Which certificate is issued to a laboratory that enables the entity to conduct
moderate or high complexity laboratory testing or both until the entity is determined by
survey to comply with CLIA regulations? - ANSWER-Certificate of registration
30.when a hospital send a Patient home or transfers the patient without providing care,
what is this called? - ANSWER-Patient dumping
31.What is not a definition of an occupational exposure? - ANSWER-Bruised skin
32.The compliance officer for internal medicine tells the Board of Directors that... Is the
key factor in the prevention of OSHA injuries and illness - ANSWER-Training and
education
33.A non-smoking building sign - ANSWER-Because of significant exposure to viruses
and other microorganisms
