CPCO CHAPTER 2 EXAM 2025
QUESTIONS AND ANSWERS
When is an outside consultant and/or legal counsel necessary?
Only when an overpayment is identified.
There is no requirement to hire a consultant or counsel, but such assistance may be
beneficial during certain phases of development and/or if issues arise.
In the beginning of plan development.
Never. - ....ANSWER ...-There is no requirement to hire a consultant or
counsel, but such assistance may be beneficial during certain phases of
development and/or if issues arise.
There is no requirement that outside consultants or legal counsel be involved in a
Compliance Program. However, during certain phases of program development
and implementation, both consultants and legal counsel may be beneficial.
Most expenses related to developing and implementing a compliance program are
considered the cost of doing business and are tax deductible for the organization.
Which, of the following, is NOT tax deductible?
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,when the expense costs are more than the national average
when the expenses are a result of the imposition of a penalty
for the annual maintenance of the program
except the salary of the Compliance Officer - ....ANSWER ...-when the
expenses are a result of the imposition of a penalty
A CIA is a penalty imposed upon the organization and, as with any other
governmental penalty, the expense of the development, implementation, and
maintenance of this program cannot be included as a deductible expense to the
organization.
What is the most important aspect of a Compliance Program?
Training
Implementation
Development
Discipline - ....ANSWER ...-Implementation
Without adherence to the stated goals and objectives there is no purpose to the
document itself. Having all the components of a compliance program in place will
not matter if they are not implemented.
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, Fraud, waste, and abuse are all areas that must be controlled when providing
services to beneficiaries. Which statement is TRUE regarding fraudulent billing?
A series of errors is considered fraudulent billing.
Fraudulent billing is only an issue if the erroneous billing is identified and not
resolved.
Fraudulent billing only occurs when refunds are not issued in a timely manner.
Fraudulent billing is a willful act with intent to receive payment for services not
rendered. - ....ANSWER ...-Fraudulent billing is a willful act with intent to
receive payment for services not rendered.
Fraudulent billing is willful, and is undertaken with the intent to receive payment
for services not legitimately rendered.
Because of the changing nature of healthcare regulation, which statement is TRUE
regarding the compliance program?
The compliance program should only be updated annually to ensure all the
changed regulations are captured.
The compliance program should be updated biannually.
Hiring a consultant to review the program for accuracy is necessary.
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 3
QUESTIONS AND ANSWERS
When is an outside consultant and/or legal counsel necessary?
Only when an overpayment is identified.
There is no requirement to hire a consultant or counsel, but such assistance may be
beneficial during certain phases of development and/or if issues arise.
In the beginning of plan development.
Never. - ....ANSWER ...-There is no requirement to hire a consultant or
counsel, but such assistance may be beneficial during certain phases of
development and/or if issues arise.
There is no requirement that outside consultants or legal counsel be involved in a
Compliance Program. However, during certain phases of program development
and implementation, both consultants and legal counsel may be beneficial.
Most expenses related to developing and implementing a compliance program are
considered the cost of doing business and are tax deductible for the organization.
Which, of the following, is NOT tax deductible?
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 1
,when the expense costs are more than the national average
when the expenses are a result of the imposition of a penalty
for the annual maintenance of the program
except the salary of the Compliance Officer - ....ANSWER ...-when the
expenses are a result of the imposition of a penalty
A CIA is a penalty imposed upon the organization and, as with any other
governmental penalty, the expense of the development, implementation, and
maintenance of this program cannot be included as a deductible expense to the
organization.
What is the most important aspect of a Compliance Program?
Training
Implementation
Development
Discipline - ....ANSWER ...-Implementation
Without adherence to the stated goals and objectives there is no purpose to the
document itself. Having all the components of a compliance program in place will
not matter if they are not implemented.
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 2
, Fraud, waste, and abuse are all areas that must be controlled when providing
services to beneficiaries. Which statement is TRUE regarding fraudulent billing?
A series of errors is considered fraudulent billing.
Fraudulent billing is only an issue if the erroneous billing is identified and not
resolved.
Fraudulent billing only occurs when refunds are not issued in a timely manner.
Fraudulent billing is a willful act with intent to receive payment for services not
rendered. - ....ANSWER ...-Fraudulent billing is a willful act with intent to
receive payment for services not rendered.
Fraudulent billing is willful, and is undertaken with the intent to receive payment
for services not legitimately rendered.
Because of the changing nature of healthcare regulation, which statement is TRUE
regarding the compliance program?
The compliance program should only be updated annually to ensure all the
changed regulations are captured.
The compliance program should be updated biannually.
Hiring a consultant to review the program for accuracy is necessary.
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 3
