STUDY SET EXAM FOR CPCO QUESTIONS
AND ANSWERS
After an employee receives their initial training regarding the practice/organization
Compliance Program what is the next step the compliance officer should take to protect the
practice against potential noncompliance activity? - ANSWER-Perform a baseline
assessment of the employee's competency scores to determine if additional training is
required
ABC Provider Group and Apple Medical Group agree to pool their resources for the purpose
of accomplishing a specific task. This is called _____________. - ANSWER-Joint ventures
The following is not a level of non-compliance: - ANSWER-Mistake in billing
For potential criminal violations, a practice should have immediate discussions with a criminal
attorney who - ANSWER-Is well versed in Healthcare Fraud and Abuse law
The Compliance Officer's main two responsibilities are to ____________the
practice/organization's compliance program. - ANSWER-develops and then implement
Judy is the Compliance Officer for Apple Medical Group. The providers of the group ask Judy
to design a new Compliance Plan. Should Judy ask some other practices in town for a copy
of their Compliance Plan? Do all Compliance Programs have to be the same regardless of
the practice size or specialty? Why? - ANSWER-No, compliance programs need to be
tailored to fit the unique needs of every organization or physician practice
USSC is important as it related to the Federal Sentencing Guidelines and thus related to the
core elements of compliance. What does the USSC acronym stand for? - ANSWER-United
States Sentencing Commission
Kathy, the Compliance Officer at a small provider office, is notified that a non-English
speaking patient will be arriving today. A LEP person/patient who needs an interpreter to
translate to and from the person's primary language must be provided. - ANSWER-at no cost
to the patient or insurance carrier
In addition to hospitals, what other type of facility did the OIG provide supplemental
compliance program guidance for? - ANSWER-Nursing Facilities
What is (are) considered a significant element(s) in fraud? - ANSWER-Knowingly and Intent
Department of Labor requires compliance with employee and employer laws including: -
ANSWER-FLSA, OSHA, CRA, ERISA
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)
Dr. X is a very through provider. He always runs a full blood panel on each patient every year
for their physical. This is an example of: - ANSWER-Waste
AND ANSWERS
After an employee receives their initial training regarding the practice/organization
Compliance Program what is the next step the compliance officer should take to protect the
practice against potential noncompliance activity? - ANSWER-Perform a baseline
assessment of the employee's competency scores to determine if additional training is
required
ABC Provider Group and Apple Medical Group agree to pool their resources for the purpose
of accomplishing a specific task. This is called _____________. - ANSWER-Joint ventures
The following is not a level of non-compliance: - ANSWER-Mistake in billing
For potential criminal violations, a practice should have immediate discussions with a criminal
attorney who - ANSWER-Is well versed in Healthcare Fraud and Abuse law
The Compliance Officer's main two responsibilities are to ____________the
practice/organization's compliance program. - ANSWER-develops and then implement
Judy is the Compliance Officer for Apple Medical Group. The providers of the group ask Judy
to design a new Compliance Plan. Should Judy ask some other practices in town for a copy
of their Compliance Plan? Do all Compliance Programs have to be the same regardless of
the practice size or specialty? Why? - ANSWER-No, compliance programs need to be
tailored to fit the unique needs of every organization or physician practice
USSC is important as it related to the Federal Sentencing Guidelines and thus related to the
core elements of compliance. What does the USSC acronym stand for? - ANSWER-United
States Sentencing Commission
Kathy, the Compliance Officer at a small provider office, is notified that a non-English
speaking patient will be arriving today. A LEP person/patient who needs an interpreter to
translate to and from the person's primary language must be provided. - ANSWER-at no cost
to the patient or insurance carrier
In addition to hospitals, what other type of facility did the OIG provide supplemental
compliance program guidance for? - ANSWER-Nursing Facilities
What is (are) considered a significant element(s) in fraud? - ANSWER-Knowingly and Intent
Department of Labor requires compliance with employee and employer laws including: -
ANSWER-FLSA, OSHA, CRA, ERISA
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)
Dr. X is a very through provider. He always runs a full blood panel on each patient every year
for their physical. This is an example of: - ANSWER-Waste
