CPCO Chapter 1 Review Exam 2025
Questions and Answers
Dr. Smith had some billing issues at his medical office. He agreed to work with the OIG
to correct the issues. What does the term "CCA" refer to so that you (the Compliance
Officer) can explain to Dr. Smith? - ....ANSWER ...-Certification of Compliance
Agreement in which providers agree to continue to operate their existing compliance
program.
Response Feedback: CCA is a Certification of Compliance Agreement which requires
providers to certify they will continue to operate their existing compliance programs for a
fixed term.
Hospital compliance guidance was published by the OIG in February 1998. When was
the supplemental compliance guidance for hospitals published? - ....ANSWER ...-
2005
Response Feedback:
Compliance Program Guidance for Hospitals (63 Fed. Reg. 8987; February 23, 1998)
Supplemental Compliance Program Guidance for Hospitals (70 Fed. Reg. 4858; January
31, 2005)
…FOR STUDENTS ONLY…©️2025 ALL RIGHTS RESERVED… 1
, Kim is the Compliance Officer for a large provider group. One of the billers for the group
enters codes from the encounter form every evening before she goes home and then
finishes in the morning when she returns. She often enters an encounter twice. She
usually catches the mistake when the insurance checks are sent to the office and returns
the overpayment to the insurance carrier. This is an example of: - ....ANSWER ...-
Abuse
Response Feedback:
CMS goes on to define abuse as "practices that, either directly or indirectly, result in
unnecessary costs to the Medicare Program." Improper billing practices.
Justin works at the local hospital in the billing department. He wants to learn more
about the agency that fights Medicare Fraud. Which is the best answer below? -
....ANSWER ...-Office of Inspector General (OIG)
Response Feedback:
Since its 1976 establishment, OIG has been at the forefront of the Nation's efforts to fight
waste, fraud and abuse in Medicare, Medicaid and more than 300 other HHS programs.
According to Inspector General Daniel Levinson, what can help reduce enforcement on
a provider from a CIA to a CCA? - ....ANSWER ...-provider has a robust and
effective compliance program
Response Feedback:
…FOR STUDENTS ONLY…©️2025 ALL RIGHTS RESERVED… 2
Questions and Answers
Dr. Smith had some billing issues at his medical office. He agreed to work with the OIG
to correct the issues. What does the term "CCA" refer to so that you (the Compliance
Officer) can explain to Dr. Smith? - ....ANSWER ...-Certification of Compliance
Agreement in which providers agree to continue to operate their existing compliance
program.
Response Feedback: CCA is a Certification of Compliance Agreement which requires
providers to certify they will continue to operate their existing compliance programs for a
fixed term.
Hospital compliance guidance was published by the OIG in February 1998. When was
the supplemental compliance guidance for hospitals published? - ....ANSWER ...-
2005
Response Feedback:
Compliance Program Guidance for Hospitals (63 Fed. Reg. 8987; February 23, 1998)
Supplemental Compliance Program Guidance for Hospitals (70 Fed. Reg. 4858; January
31, 2005)
…FOR STUDENTS ONLY…©️2025 ALL RIGHTS RESERVED… 1
, Kim is the Compliance Officer for a large provider group. One of the billers for the group
enters codes from the encounter form every evening before she goes home and then
finishes in the morning when she returns. She often enters an encounter twice. She
usually catches the mistake when the insurance checks are sent to the office and returns
the overpayment to the insurance carrier. This is an example of: - ....ANSWER ...-
Abuse
Response Feedback:
CMS goes on to define abuse as "practices that, either directly or indirectly, result in
unnecessary costs to the Medicare Program." Improper billing practices.
Justin works at the local hospital in the billing department. He wants to learn more
about the agency that fights Medicare Fraud. Which is the best answer below? -
....ANSWER ...-Office of Inspector General (OIG)
Response Feedback:
Since its 1976 establishment, OIG has been at the forefront of the Nation's efforts to fight
waste, fraud and abuse in Medicare, Medicaid and more than 300 other HHS programs.
According to Inspector General Daniel Levinson, what can help reduce enforcement on
a provider from a CIA to a CCA? - ....ANSWER ...-provider has a robust and
effective compliance program
Response Feedback:
…FOR STUDENTS ONLY…©️2025 ALL RIGHTS RESERVED… 2
