2/4/25, 10:08 AM CPCO CERTIFICATION EXAM PRACTICE EXAM 2025 | ALL QUESTIONS AND CORRECT ANSWERS | ALREADY GRADED A+ …
CPCO CERTIFICATION EXAM PRACTICE EXAM
2025 | ALL QUESTIONS AND CORRECT ANSWERS
| ALREADY GRADED A+ | LATEST RELEASE
Save
Terms in this set (50)
Under the HIPPA Act of 1996, Public Law 104-191, what
Health Care Fraud and
is the name of the national program designed to
Abuse Control Program
coordinate Federal, State and local law enforcement
(HCFAC)
activities with respect to health care fraud and abuse?
Promote an organizational According to the Federal Sentencing Guidelines, "To
culture that encourages have an effective compliance and ethics program...,
ethical conduct and a and organization shall exercise due diligence to
commitment to prevent and detect criminal conduct." The FSGs also
compliance with the law state organization shall:
Tailor those materials to If a physician practice uses another entity's standards
the physician practice of conduct, the practice must:
where they will be
applied.
For any service billed, As the compliance contract for your physician
documentation must be practice, you are charged with developing the
present in the patient's policies and procedures related to coding and billing.
medical record to support When developing these policies and procedures:
the services.
https://quizlet.com/1001196937/cpco-certification-exam-practice-exam-2025-all-questions-and-correct-answers-already-graded-a-latest-release-flash-… 1/11
, 2/4/25, 10:08 AM CPCO CERTIFICATION EXAM PRACTICE EXAM 2025 | ALL QUESTIONS AND CORRECT ANSWERS | ALREADY GRADED A+ …
City Orthopedics, a large physician group practice
employs several physician assistants and nurse
practitioners. There have been several questions by
the physicians on how incident to services should be
billed. The compliance officer has called the
Medicare Administrative Contractor for the practice
Document the
and was given some information on how incident to
conversation and retain
services should be billed. Because the practice will be
the records
relying on the information received from the
Medicare Administrative Contractor, what steps
should the compliance officer take at the conclusion
of the call according to the OIG Compliance
Guidance for Individual and Small Group Physician
Practices?
Be sure any timeframes or Developing effective compliance policies and
requirements listed can be procedures is an important part of any compliance
accomplished given the program. To help your practice mitigate compliance
practice's resources risk, policies and procedures should:
Centennial Medical Associates is committed to
Verify accuracy of coding following Federal, State, and Local laws, rules,
and reimbursement for the guidelines, and regulations. To promote this effort,
services performed Centennial Medical Associates will perform claims
audits at least on an annual basis to ____________________.
Reviewing reports to see You have just been identified as the compliance
that new employees and officer at your practice. The OIG Compliance
vendors have been Guidance for Individual and Small Group Physician
checked against the OIG's Practices suggests six specific duties that may be
list of excluded individuals assigned to you. What is one of those duties?
and entities.
For larger physician practices, how frequently does
Regularly the OIG recommend reporting compliance activities
to the Board of Directors and CEO?
https://quizlet.com/1001196937/cpco-certification-exam-practice-exam-2025-all-questions-and-correct-answers-already-graded-a-latest-release-flash-… 2/11
CPCO CERTIFICATION EXAM PRACTICE EXAM
2025 | ALL QUESTIONS AND CORRECT ANSWERS
| ALREADY GRADED A+ | LATEST RELEASE
Save
Terms in this set (50)
Under the HIPPA Act of 1996, Public Law 104-191, what
Health Care Fraud and
is the name of the national program designed to
Abuse Control Program
coordinate Federal, State and local law enforcement
(HCFAC)
activities with respect to health care fraud and abuse?
Promote an organizational According to the Federal Sentencing Guidelines, "To
culture that encourages have an effective compliance and ethics program...,
ethical conduct and a and organization shall exercise due diligence to
commitment to prevent and detect criminal conduct." The FSGs also
compliance with the law state organization shall:
Tailor those materials to If a physician practice uses another entity's standards
the physician practice of conduct, the practice must:
where they will be
applied.
For any service billed, As the compliance contract for your physician
documentation must be practice, you are charged with developing the
present in the patient's policies and procedures related to coding and billing.
medical record to support When developing these policies and procedures:
the services.
https://quizlet.com/1001196937/cpco-certification-exam-practice-exam-2025-all-questions-and-correct-answers-already-graded-a-latest-release-flash-… 1/11
, 2/4/25, 10:08 AM CPCO CERTIFICATION EXAM PRACTICE EXAM 2025 | ALL QUESTIONS AND CORRECT ANSWERS | ALREADY GRADED A+ …
City Orthopedics, a large physician group practice
employs several physician assistants and nurse
practitioners. There have been several questions by
the physicians on how incident to services should be
billed. The compliance officer has called the
Medicare Administrative Contractor for the practice
Document the
and was given some information on how incident to
conversation and retain
services should be billed. Because the practice will be
the records
relying on the information received from the
Medicare Administrative Contractor, what steps
should the compliance officer take at the conclusion
of the call according to the OIG Compliance
Guidance for Individual and Small Group Physician
Practices?
Be sure any timeframes or Developing effective compliance policies and
requirements listed can be procedures is an important part of any compliance
accomplished given the program. To help your practice mitigate compliance
practice's resources risk, policies and procedures should:
Centennial Medical Associates is committed to
Verify accuracy of coding following Federal, State, and Local laws, rules,
and reimbursement for the guidelines, and regulations. To promote this effort,
services performed Centennial Medical Associates will perform claims
audits at least on an annual basis to ____________________.
Reviewing reports to see You have just been identified as the compliance
that new employees and officer at your practice. The OIG Compliance
vendors have been Guidance for Individual and Small Group Physician
checked against the OIG's Practices suggests six specific duties that may be
list of excluded individuals assigned to you. What is one of those duties?
and entities.
For larger physician practices, how frequently does
Regularly the OIG recommend reporting compliance activities
to the Board of Directors and CEO?
https://quizlet.com/1001196937/cpco-certification-exam-practice-exam-2025-all-questions-and-correct-answers-already-graded-a-latest-release-flash-… 2/11
