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CPCO STUDY - Chapter 2 Exam Questions and
Verified Answers
One of the most important elements of an effective compliance program is to
have a compliance officer or committee who is__________.
Ans: empowered
If an employee, provider or anyone that deals with Federal or State healthcare
dollars has intent to receive payment for services not legitimately rendered this is
considered ______________?
Ans: fraud
Joan, as an employee of a healthcare organization, has _________to report
erroneous conduct, without repercussions, so that it may be corrected
immediately
Ans: duty
person who exposes misconduct, alleged dishonest or illegal activity occurring
in an organization is called a______________?
Ans: relator
The compliance program will flounder if employees of the organization are not
aware of _________?
Ans: laws and regulations that pertain to their specific job descriptions
When physicians (or their staff) make billing mistakes and errors the most
important thing to do is _________?
Ans: Send a refund
Judy is the Compliance Officer for Apple Medical Group. The practice is a small
group of providers. Judy wants to have an open door policy as suggested by the
OIG, thus she will?
Ans: Post notices of up-to-date compliance information on the employee
bulletin board
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Participants in the Federal healthcare programs have an obligation to take
measures, such as instituting a compliance program, to _________________?
Ans: detects and prevent fraudulent, abusive and wasteful activities
Tim, the Compliance Officer for XYZ Community Hospital, should report to
whom?
Ans: CEO or Board
The biller at XYZ Community Hospital wants to win the award every month for
posting the most insurance checks. Instead of giving the claims 30-60 days to
clear, she bills them again at the end of the month. This is an example of?
Ans: double billing
The OIG has described seven basic components of an effective compliance
program for a small physician practice that are based from the _______________?
Ans: Federal Sentencing Guidelines
Kim, Compliance Officer for ABC Provider Group, created a compliance plan
and policy a year ago. While reviewing the groups Baseline Audits it comes to
her attention that many of the staff have decided NOT to follow the compliance
plan. The Non-Compliance has ____________?
Ans: created a big risk of the group and Kim needs to make sure that
everyone knows about the risk of not following the compliance plan
A high-level statement or plan that embraces an organization's general beliefs,
goals, objectives and acceptable procedure for a specified subject area is a
_______________?
Ans: policy
Kim is the Compliance Officer for ABC Provider Group. Kim has read the OIG
Compliance Program Guidance that acknowledges patient care as the first
priority of a physician practice. As the Compliance Officer (CO), Kim should
implement what type of compliance model?
Ans: A "patients first"
It is important to educate employees of the methods they may utilize to directly
notify and communicate issues of suspected areas of non-compliance. What is
considered a best practice method of anonymous reporting?
CPCO STUDY - Chapter 2 Exam Questions and
Verified Answers
One of the most important elements of an effective compliance program is to
have a compliance officer or committee who is__________.
Ans: empowered
If an employee, provider or anyone that deals with Federal or State healthcare
dollars has intent to receive payment for services not legitimately rendered this is
considered ______________?
Ans: fraud
Joan, as an employee of a healthcare organization, has _________to report
erroneous conduct, without repercussions, so that it may be corrected
immediately
Ans: duty
person who exposes misconduct, alleged dishonest or illegal activity occurring
in an organization is called a______________?
Ans: relator
The compliance program will flounder if employees of the organization are not
aware of _________?
Ans: laws and regulations that pertain to their specific job descriptions
When physicians (or their staff) make billing mistakes and errors the most
important thing to do is _________?
Ans: Send a refund
Judy is the Compliance Officer for Apple Medical Group. The practice is a small
group of providers. Judy wants to have an open door policy as suggested by the
OIG, thus she will?
Ans: Post notices of up-to-date compliance information on the employee
bulletin board
, Page | 2
Participants in the Federal healthcare programs have an obligation to take
measures, such as instituting a compliance program, to _________________?
Ans: detects and prevent fraudulent, abusive and wasteful activities
Tim, the Compliance Officer for XYZ Community Hospital, should report to
whom?
Ans: CEO or Board
The biller at XYZ Community Hospital wants to win the award every month for
posting the most insurance checks. Instead of giving the claims 30-60 days to
clear, she bills them again at the end of the month. This is an example of?
Ans: double billing
The OIG has described seven basic components of an effective compliance
program for a small physician practice that are based from the _______________?
Ans: Federal Sentencing Guidelines
Kim, Compliance Officer for ABC Provider Group, created a compliance plan
and policy a year ago. While reviewing the groups Baseline Audits it comes to
her attention that many of the staff have decided NOT to follow the compliance
plan. The Non-Compliance has ____________?
Ans: created a big risk of the group and Kim needs to make sure that
everyone knows about the risk of not following the compliance plan
A high-level statement or plan that embraces an organization's general beliefs,
goals, objectives and acceptable procedure for a specified subject area is a
_______________?
Ans: policy
Kim is the Compliance Officer for ABC Provider Group. Kim has read the OIG
Compliance Program Guidance that acknowledges patient care as the first
priority of a physician practice. As the Compliance Officer (CO), Kim should
implement what type of compliance model?
Ans: A "patients first"
It is important to educate employees of the methods they may utilize to directly
notify and communicate issues of suspected areas of non-compliance. What is
considered a best practice method of anonymous reporting?
