CPCO CHAPTER 1 REVIEW EXAM
QUESTIONS WITH CORRECT ANSWERS
In addition to hospitals, what other type of facility did the OIG provide supplemental
compliance program guidance for? - ANSWER-Nursing Facilities
Response Feedback:
Supplemental compliance program guidance was published for nursing facilities in
September 2008.
CPUP was the first large fraud case that involved a teaching hospital where Residents
and Fellows worked and was located in: - ANSWER-Pennsylvania
Response Feedback:
Pennsylvania. The clinical practices of the University of Pennsylvania (CPUP) was the
first major audit that targeted teaching hospitals in 1995.
Department of Labor requires compliance with employee and employer laws including: -
ANSWER-FLSA, OSHA, CRA, ERISA
Response Feedback:
The Department of Labor requires compliance with the employee and employer laws
including the Fair Labor Standards Act (FLSA), Occupational Safety and Health Act
(OSHA), Civil Rights Act (CRA), and Employee Retirement and Income Safety Act
(ERISA).
Jill works for ABC Family Practice. Jill wants to find out more about the HIPAA Privacy
Rule and Security Rule provisions. Which office or department would Jill contact? -
ANSWER-Office of Civil Rights (OCR)
Response Feedback:
The OCR is responsible for enforcing the HIPAA Privacy Rule and Security Rule
provisions. It also oversees the provisions of the Civil Rights Act of 1964 as it applies to
Limited English Proficiency (see below), the confidentiality provisions of the Patient
Safety Act and Rule, and the Church Amendments, section 245 of the Public Health
Service Act, and the Weldon Amendment, collectively known as the Federal Health
Care Provider Conscience Protection Laws.
What does the acronym LEP stand for? - ANSWER-Limited English Proficiency
Response Feedback:
Limited English Proficiency (LEP)
The OIG has developed a five-principle strategy to combat healthcare Fraud, Waste,
and Abuse. Which of these options is NOT included in these principles? - ANSWER-
, Scrutinize individuals and entities that are participating as providers and suppliers after
their enrollment in healthcare programs.
Response Feedback:
The OIG's Five-Principle Strategy to combat healthcare fraud, waste, and abuse
include:
1 - Enrollment - Scrutinize individuals and entities that want to participate as providers
and suppliers prior to their enrollment in healthcare programs;
2 - Payment - Establish payment methodologies that are reasonable and responsive to
changes in the marketplace;
3 - Compliance - Assist healthcare providers and suppliers in adopting practices that
promote compliance with program requirements, including quality and safety standards;
4 - Oversight - Vigilantly monitor programs for evidence of fraud, waste, and abuse; and
5 - Response - respond swiftly to detect fraud, impose sufficient punishment to deter
others, and promptly remedy program vulnerabilities.
Which of the following is NOT one of the 7 Elements of an Effective Compliance Plan? -
ANSWER-Legal Council
Response Feedback:
Legal Counsel. The seven elements are part of the Federal Sentencing Guidelines. The
seven elements are part of each of the OIG's Compliance Guidelines. Legal Counsel is
not one of the seven elements.
1.Conducting internal monitoring and auditing
2. Designating a Compliance Officer or contact
3. Developing open lines of communication
4. Responding appropriately to detect offenses and developing and implementing
corrective action
5. Implementing compliance and practice standards
6. Enforcing disciplinary standards through well publicized guidelines
7. Conducting appropriate training and education
USSC is important as it related to the Federal Sentencing Guidelines and is thus related
to the core elements of compliance. What does the USSC acronym stand for? -
ANSWER-United States Sentencing Commission
Response Feedback:
United States Sentencing Commission
The Office of Evaluation and Inspections is part of what Agency or Department? -
ANSWER-OIG
Response Feedback:
The OIG consists of 6 departments. One of these is the Office of Evaluations and
Inspections.
QUESTIONS WITH CORRECT ANSWERS
In addition to hospitals, what other type of facility did the OIG provide supplemental
compliance program guidance for? - ANSWER-Nursing Facilities
Response Feedback:
Supplemental compliance program guidance was published for nursing facilities in
September 2008.
CPUP was the first large fraud case that involved a teaching hospital where Residents
and Fellows worked and was located in: - ANSWER-Pennsylvania
Response Feedback:
Pennsylvania. The clinical practices of the University of Pennsylvania (CPUP) was the
first major audit that targeted teaching hospitals in 1995.
Department of Labor requires compliance with employee and employer laws including: -
ANSWER-FLSA, OSHA, CRA, ERISA
Response Feedback:
The Department of Labor requires compliance with the employee and employer laws
including the Fair Labor Standards Act (FLSA), Occupational Safety and Health Act
(OSHA), Civil Rights Act (CRA), and Employee Retirement and Income Safety Act
(ERISA).
Jill works for ABC Family Practice. Jill wants to find out more about the HIPAA Privacy
Rule and Security Rule provisions. Which office or department would Jill contact? -
ANSWER-Office of Civil Rights (OCR)
Response Feedback:
The OCR is responsible for enforcing the HIPAA Privacy Rule and Security Rule
provisions. It also oversees the provisions of the Civil Rights Act of 1964 as it applies to
Limited English Proficiency (see below), the confidentiality provisions of the Patient
Safety Act and Rule, and the Church Amendments, section 245 of the Public Health
Service Act, and the Weldon Amendment, collectively known as the Federal Health
Care Provider Conscience Protection Laws.
What does the acronym LEP stand for? - ANSWER-Limited English Proficiency
Response Feedback:
Limited English Proficiency (LEP)
The OIG has developed a five-principle strategy to combat healthcare Fraud, Waste,
and Abuse. Which of these options is NOT included in these principles? - ANSWER-
, Scrutinize individuals and entities that are participating as providers and suppliers after
their enrollment in healthcare programs.
Response Feedback:
The OIG's Five-Principle Strategy to combat healthcare fraud, waste, and abuse
include:
1 - Enrollment - Scrutinize individuals and entities that want to participate as providers
and suppliers prior to their enrollment in healthcare programs;
2 - Payment - Establish payment methodologies that are reasonable and responsive to
changes in the marketplace;
3 - Compliance - Assist healthcare providers and suppliers in adopting practices that
promote compliance with program requirements, including quality and safety standards;
4 - Oversight - Vigilantly monitor programs for evidence of fraud, waste, and abuse; and
5 - Response - respond swiftly to detect fraud, impose sufficient punishment to deter
others, and promptly remedy program vulnerabilities.
Which of the following is NOT one of the 7 Elements of an Effective Compliance Plan? -
ANSWER-Legal Council
Response Feedback:
Legal Counsel. The seven elements are part of the Federal Sentencing Guidelines. The
seven elements are part of each of the OIG's Compliance Guidelines. Legal Counsel is
not one of the seven elements.
1.Conducting internal monitoring and auditing
2. Designating a Compliance Officer or contact
3. Developing open lines of communication
4. Responding appropriately to detect offenses and developing and implementing
corrective action
5. Implementing compliance and practice standards
6. Enforcing disciplinary standards through well publicized guidelines
7. Conducting appropriate training and education
USSC is important as it related to the Federal Sentencing Guidelines and is thus related
to the core elements of compliance. What does the USSC acronym stand for? -
ANSWER-United States Sentencing Commission
Response Feedback:
United States Sentencing Commission
The Office of Evaluation and Inspections is part of what Agency or Department? -
ANSWER-OIG
Response Feedback:
The OIG consists of 6 departments. One of these is the Office of Evaluations and
Inspections.
