CPCO Chapter 12 Exam 2025 Questions
and 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) - ....ANSWER ...-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% - ....ANSWER ...-80%
OIG has historically dedicated 80% of its resources to ensure the integrity of the
Medicare and Medicaid programs.
…FOR STUDENTS ONLY…©️2025 ALL RIGHTS RESERVED… 1
,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 - ....ANSWER ...-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
Malpractice insurance
Workers' compensation - ....ANSWER ...-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
…FOR STUDENTS ONLY…©️2025 ALL RIGHTS RESERVED… 2
, American College of Physicians
American Academy of Dermatology
American Academy of Family Physicians - ....ANSWER ...-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 - ....ANSWER ...-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
HIPAA
OSHA - ....ANSWER ...-HIPAA
…FOR STUDENTS ONLY…©️2025 ALL RIGHTS RESERVED… 3
and 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) - ....ANSWER ...-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% - ....ANSWER ...-80%
OIG has historically dedicated 80% of its resources to ensure the integrity of the
Medicare and Medicaid programs.
…FOR STUDENTS ONLY…©️2025 ALL RIGHTS RESERVED… 1
,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 - ....ANSWER ...-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
Malpractice insurance
Workers' compensation - ....ANSWER ...-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
…FOR STUDENTS ONLY…©️2025 ALL RIGHTS RESERVED… 2
, American College of Physicians
American Academy of Dermatology
American Academy of Family Physicians - ....ANSWER ...-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 - ....ANSWER ...-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
HIPAA
OSHA - ....ANSWER ...-HIPAA
…FOR STUDENTS ONLY…©️2025 ALL RIGHTS RESERVED… 3
