P age | 1
| | | | |
CPCO STUDY GUIDE UPDATED
EXAM WITH VERIFIED SOLUTIONS.
1. When Judy, Compliance Officer for the Apple Medical Group,
| | | | | | | |
|designs the compliance plan she will follow what OIG has
| | | | | | | | |
|described in the Federal Register. How many basic
| | | | | | |
|components of an effective compliance program is listed for a | | | | | | | | |
|small physician practice? - correct answer -seven
| | | | | |
2. What does the OIG consider the minimum requirements for a
| | | | | | | | |
|well-publicized guideline that includes disciplinary steps? - | | | | | |
|correct answer -Including the disciplinary steps in the
| | | | | | |
|company's in-house training and procedure manuals | | | | |
3. Failure to respond quickly to suspected or alleged instances of
| | | | | | | | |
|non-compliance threatens the organization's reputation as | | | | |
|trustworthy, law-abiding, and ? - correct
| | | | |
|answer -the organization's ability to participate with federally
| | | | | | |
|funded healthcare plans and/or third party payers.
| | | | | |
4. Lon, the billing manager, sometimes uses the term "double
| | | | | | | |
|billing". What does this phase refer to? - correct answer -
| | | | | | | | | |
, P age | 2
| | | | |
Charging the patient for a membership fee to see the provider as
| | | | | | | | | | |
well as billing for the actual office visit that day.
| | | | | | | | | |
5. When Kim from ABC Provider Group is conducting a risk
| | | | | | | | |
|assessment, one of the most important and key sources of | | | | | | | | |
|information that a Kim as the Compliance Officer should utilize is
| | | | | | | | | |
- correct answer -the Office of Inspector | | | | | |
|General's Annual Work Plan | | |
6. What is more important to have in place for enforcing and
| | | | | | | | | |
|disciplining individuals who violate the practice's compliance or
| | | | | | |
|other practice standards? - correct answer -procedures
| | | | | |
7. Kelly is the Compliance Officer for a teaching hospital. The
| | | | | | | | |
|hospital has providers that specialize in Dermatology,
| | | | | |
|Pediatrics, Urology, Family Medicine, Internal Medicine and
| | | | | |
|Infectious Disease. Only the Pediatricians accept Medicaid.
| | | | | |
|The Family Practice groups also employs Nurse Practitioners
| | | | | | |
|whereas the other specialties only have MD's or DO's. How
| | | | | | | | |
|should Kelly address these special issues? - correct answer -
| | | | | | | | |
|Kelly should give specialized training to coders and billers that
| | | | | | | | |
|code/bill for the Pediatricians and Family Practice that takes into
| | | | | | | | |
|account the Medicaid insurance and Nurse Practitioners
| | | | | |
|because this is creating extra work for two out of the six
| | | | | | | | | | |
|specialties.
, P age | 3
| | | | |
8. The OIG guidance recommends new employees should be
| | | | | | |
|trained in standards and procedures
| | as part of | | | |
|their orientation to the practice. - correct answer -as soon as
| | | | | | | | | |
|possible
9. he following is not a level of non-compliance: - correct answer -
| | | | | | | | | | |
|Mistake in billing | |
10. Judy at Apple Medical Group wants to know why Hot Line
| | | | | | | | | |
allegations should be tracked? - correct answer -Establish
| | | | | | | |
patterns or trends that need to be followed
| | | | | | | |
11. If the practice uses an outsourced compliance officer the OIG
| | | | | | | | |
recommends
| ? - correct answer -designating a liaison | | | | | |
from the practice to communicate with the outside compliance
| | | | | | | | |
officer; and that the practice has a business service agreement
| | | | | | | | | |
with the outside compliance officer
| | | | |
12. John is the new Compliance Officer for a small community
| | | | | | | | |
medical practice of 10 providers. He wants to design a great
| | | | | | | | | | |
, P age | 4 | | | | |
compliance plan for the group. What does the OIG consider the
| | | | | | | | | |
most important aspect of a Compliance Program? - correct
| | | | | | | | |
answer -Implementation
| |
13. The Compliance Officer is also responsible for the
| | | | | | |
coordinating and/or screening of employees, agents, and
| | | | | | |
independent contractors. Why is this important? - correct answer
| | | | | | | | |
-Organizations cannot do business with individuals who have
| | | | | | | |
been excluded from participating in federally funded healthcare
| | | | | | | |
plans
|
14. Joan, as an employee of a healthcare organization, has
| | | | | | | |
to report erroneous conduct, without repercussions,
| | | | |
so that it may be corrected immediately. - correct answer -a duty
| | | | | | | | | | | |
15. Judy, Compliance Officer for Apple Medical Group, wants the
| | | | | | | |
entire organization to be included in the initial audit to identify
| | | | | | | | | | |
current compliance and areas of non-compliance. What type of
| | | | | | | | |
audit is this? - correct answer -baseline
| | | | | | |
| | | | |
CPCO STUDY GUIDE UPDATED
EXAM WITH VERIFIED SOLUTIONS.
1. When Judy, Compliance Officer for the Apple Medical Group,
| | | | | | | |
|designs the compliance plan she will follow what OIG has
| | | | | | | | |
|described in the Federal Register. How many basic
| | | | | | |
|components of an effective compliance program is listed for a | | | | | | | | |
|small physician practice? - correct answer -seven
| | | | | |
2. What does the OIG consider the minimum requirements for a
| | | | | | | | |
|well-publicized guideline that includes disciplinary steps? - | | | | | |
|correct answer -Including the disciplinary steps in the
| | | | | | |
|company's in-house training and procedure manuals | | | | |
3. Failure to respond quickly to suspected or alleged instances of
| | | | | | | | |
|non-compliance threatens the organization's reputation as | | | | |
|trustworthy, law-abiding, and ? - correct
| | | | |
|answer -the organization's ability to participate with federally
| | | | | | |
|funded healthcare plans and/or third party payers.
| | | | | |
4. Lon, the billing manager, sometimes uses the term "double
| | | | | | | |
|billing". What does this phase refer to? - correct answer -
| | | | | | | | | |
, P age | 2
| | | | |
Charging the patient for a membership fee to see the provider as
| | | | | | | | | | |
well as billing for the actual office visit that day.
| | | | | | | | | |
5. When Kim from ABC Provider Group is conducting a risk
| | | | | | | | |
|assessment, one of the most important and key sources of | | | | | | | | |
|information that a Kim as the Compliance Officer should utilize is
| | | | | | | | | |
- correct answer -the Office of Inspector | | | | | |
|General's Annual Work Plan | | |
6. What is more important to have in place for enforcing and
| | | | | | | | | |
|disciplining individuals who violate the practice's compliance or
| | | | | | |
|other practice standards? - correct answer -procedures
| | | | | |
7. Kelly is the Compliance Officer for a teaching hospital. The
| | | | | | | | |
|hospital has providers that specialize in Dermatology,
| | | | | |
|Pediatrics, Urology, Family Medicine, Internal Medicine and
| | | | | |
|Infectious Disease. Only the Pediatricians accept Medicaid.
| | | | | |
|The Family Practice groups also employs Nurse Practitioners
| | | | | | |
|whereas the other specialties only have MD's or DO's. How
| | | | | | | | |
|should Kelly address these special issues? - correct answer -
| | | | | | | | |
|Kelly should give specialized training to coders and billers that
| | | | | | | | |
|code/bill for the Pediatricians and Family Practice that takes into
| | | | | | | | |
|account the Medicaid insurance and Nurse Practitioners
| | | | | |
|because this is creating extra work for two out of the six
| | | | | | | | | | |
|specialties.
, P age | 3
| | | | |
8. The OIG guidance recommends new employees should be
| | | | | | |
|trained in standards and procedures
| | as part of | | | |
|their orientation to the practice. - correct answer -as soon as
| | | | | | | | | |
|possible
9. he following is not a level of non-compliance: - correct answer -
| | | | | | | | | | |
|Mistake in billing | |
10. Judy at Apple Medical Group wants to know why Hot Line
| | | | | | | | | |
allegations should be tracked? - correct answer -Establish
| | | | | | | |
patterns or trends that need to be followed
| | | | | | | |
11. If the practice uses an outsourced compliance officer the OIG
| | | | | | | | |
recommends
| ? - correct answer -designating a liaison | | | | | |
from the practice to communicate with the outside compliance
| | | | | | | | |
officer; and that the practice has a business service agreement
| | | | | | | | | |
with the outside compliance officer
| | | | |
12. John is the new Compliance Officer for a small community
| | | | | | | | |
medical practice of 10 providers. He wants to design a great
| | | | | | | | | | |
, P age | 4 | | | | |
compliance plan for the group. What does the OIG consider the
| | | | | | | | | |
most important aspect of a Compliance Program? - correct
| | | | | | | | |
answer -Implementation
| |
13. The Compliance Officer is also responsible for the
| | | | | | |
coordinating and/or screening of employees, agents, and
| | | | | | |
independent contractors. Why is this important? - correct answer
| | | | | | | | |
-Organizations cannot do business with individuals who have
| | | | | | | |
been excluded from participating in federally funded healthcare
| | | | | | | |
plans
|
14. Joan, as an employee of a healthcare organization, has
| | | | | | | |
to report erroneous conduct, without repercussions,
| | | | |
so that it may be corrected immediately. - correct answer -a duty
| | | | | | | | | | | |
15. Judy, Compliance Officer for Apple Medical Group, wants the
| | | | | | | |
entire organization to be included in the initial audit to identify
| | | | | | | | | | |
current compliance and areas of non-compliance. What type of
| | | | | | | | |
audit is this? - correct answer -baseline
| | | | | | |
