CPCO EXAM SET REVIEW QUESTIONS
WITH COMPLETE SOLUTIONS
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.
Sam is the Compliance Officer for MNO Internal Medicine Group. MNA has just
signed a Compliance Certification Agreement (CCA). Sam is unsure if an
Independent Review Organization (IRO) is required with the CCA. What is the
correct answer below? - ANSWER-No, an IRO is not required while an entity has a
CCA
Response Feedback:
Certificate of Compliance Agreements (CCA) is for 3 years and does not require an
IRO. CIA is for 5 years and requires an IRO.
Jill is the Compliance Officer for a small provider group. Jill wants to send all lab
referrals to the lab that her physician group owns. Is this considered fraud? -
ANSWER-Yes, it is considered fraud.
Response Feedback:
Making prohibited referrals for certain designated health services is considered
fraud.
Which ACT is NOT overseen by the Department of Labor? - ANSWER-Clinical
Laboratory Improvement Amendments (CLIA)
Response Feedback:
The Department of Labor requires compliance with employee and employer laws
including, the Fair Labor Standards Act (FLSA), the Occupational Safety and Health
Act (OSHA), the Civil Rights Act, and the employment provisions of the Employee
Retirement and Income Safety Act (ERISA).
What were the targets of Physician at Teaching Hospitals (PATH) audits? -
ANSWER-documentation of physician involvement in services that were performed
, or present when a resident provided the service with documentation supporting the
level
Response Feedback:
The PATH audits targeted insufficient medical record documentation to support
whether a physician either performed the service or was present when a resident
performed the service. As a result of findings in the CPUP audit, insufficient
documentation supporting the level of service was also targeted.
The OIG imposed a CIA on Dr. K. The OIG also told Dr. K that he could no longer
work for any entity that uses Federal or State money. This is an example of: -
ANSWER-Exclusion
Response Feedback:
Exclusion. Congress mandated the exclusion of physicians and other providers
convicted of crimes from participation in Medicare and Medicaid programs in 1977.
The OIG has stated that an effective compliance plan can help create: - ANSWER-
All of the above
Response Feedback:
The OIG has stated that an effective compliance program can help create financial
success, customer loyalty, community support, and employee satisfaction.
The hospital that John works for was just issued a CIA. What is the typical term of a
CIA that John can expect for the hospital that he works for? - ANSWER-five years
Response Feedback:
The typical term for a Corporate Integrity Agreement (CIA) is five years.
Which government branch was created to fight waste, fraud and abuse in all federal
health care programs especially Medicare, Medicaid? - ANSWER-Office of Inspector
General (OIG)
Response Feedback:
The Office of Inspector General conducts independent audits, inspections, and
investigations in all federal health care programs.
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).
WITH COMPLETE SOLUTIONS
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.
Sam is the Compliance Officer for MNO Internal Medicine Group. MNA has just
signed a Compliance Certification Agreement (CCA). Sam is unsure if an
Independent Review Organization (IRO) is required with the CCA. What is the
correct answer below? - ANSWER-No, an IRO is not required while an entity has a
CCA
Response Feedback:
Certificate of Compliance Agreements (CCA) is for 3 years and does not require an
IRO. CIA is for 5 years and requires an IRO.
Jill is the Compliance Officer for a small provider group. Jill wants to send all lab
referrals to the lab that her physician group owns. Is this considered fraud? -
ANSWER-Yes, it is considered fraud.
Response Feedback:
Making prohibited referrals for certain designated health services is considered
fraud.
Which ACT is NOT overseen by the Department of Labor? - ANSWER-Clinical
Laboratory Improvement Amendments (CLIA)
Response Feedback:
The Department of Labor requires compliance with employee and employer laws
including, the Fair Labor Standards Act (FLSA), the Occupational Safety and Health
Act (OSHA), the Civil Rights Act, and the employment provisions of the Employee
Retirement and Income Safety Act (ERISA).
What were the targets of Physician at Teaching Hospitals (PATH) audits? -
ANSWER-documentation of physician involvement in services that were performed
, or present when a resident provided the service with documentation supporting the
level
Response Feedback:
The PATH audits targeted insufficient medical record documentation to support
whether a physician either performed the service or was present when a resident
performed the service. As a result of findings in the CPUP audit, insufficient
documentation supporting the level of service was also targeted.
The OIG imposed a CIA on Dr. K. The OIG also told Dr. K that he could no longer
work for any entity that uses Federal or State money. This is an example of: -
ANSWER-Exclusion
Response Feedback:
Exclusion. Congress mandated the exclusion of physicians and other providers
convicted of crimes from participation in Medicare and Medicaid programs in 1977.
The OIG has stated that an effective compliance plan can help create: - ANSWER-
All of the above
Response Feedback:
The OIG has stated that an effective compliance program can help create financial
success, customer loyalty, community support, and employee satisfaction.
The hospital that John works for was just issued a CIA. What is the typical term of a
CIA that John can expect for the hospital that he works for? - ANSWER-five years
Response Feedback:
The typical term for a Corporate Integrity Agreement (CIA) is five years.
Which government branch was created to fight waste, fraud and abuse in all federal
health care programs especially Medicare, Medicaid? - ANSWER-Office of Inspector
General (OIG)
Response Feedback:
The Office of Inspector General conducts independent audits, inspections, and
investigations in all federal health care programs.
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).
