CPCO EXAM REVIEW QUESTIONS AND ANSWERS, 100% ACCURATE. VERIFIED.

CPCO EXAM REVIEW QUESTIONS AND ANSWERS, 100% ACCURATE. VERIFIED. The OIG consists of 6 departments: - -1.Immediate OIG — responsible for the overall fulfillment of the OIG's mission and for promoting effective management and quality of the agency's processes and products. 2.Office of Audit Services — performs independent audits of HHS programs and/or HHS grantees and contractors to examine their performance. 3.Office of Evaluation and Inspections — conducts national evaluations of HHS programs from a broad issue-based perspective. 4.Office of Management and Policy — provides mission and administrative support to the OIG. 5.Office of Investigations (OI) — conducts criminal, civil, and administrative investigations of fraud and misconduct related to HHS programs, operations, and beneficiaries. The OI also operates an OIG hotline. 6.Office of Counsel to the Inspector General — provides legal advocacy and counsel to the Inspector General and OIG's other components. 1976 - -OIG was created to fight FWA in Medicare, Medicaid and more than 300 other HHS programs. 1998 - -HHS OIG created the 1st compliance guidance document: Compliance Program Guidance for Hospitals for HH, Clinical Labs and 3rd Party Medical billing Companies. 1999 - -Compliance Program Guidance for DME industry, Hospices and Medicare+Choice Organization. 2000 - -Compliance Program Guidance for Nsg Facilities & Individual & Small Grp Physician Practices. 2005 - -Supplemental Guidance Program Guidance for Hospitals. 2010 - -Patient Protection & Affordable Care Act (PPACA), AKA Obamacare was created. Health Care Education Reconciliation Act which is AKA Healthcare Reform Law. The DOJ consists of numerous agencies, including: - -the Federal Bureau of Investigation (FBI) and the Drug Enforcement Administration (DEA). A list of all the agencies can be found at The DOJ's current strategic plan () includes the following overarching goals: - - - Enhance national security and counter the threat of terrorism; - Secure the borders and enhance immigration enforcement and adjudication; - Reduce violent crime and promote public safety; and - Promote rule of law, integrity, and good government. What are CIA (Corporate Integrity Agreements)? - -Used to enforce compliance within a healthcare organization. Used as a part of a civil settlement with a provider or organization when there has been an investigation into the claims submitted to a federal payer. I What is HHS OCR (Office of Civil Rights)? - -Responsible to enforce the HIPAA Privacy Rule and Security Rule provisions. The Civil Rights Act of 1964 as it applies to limited English proficiency (see below), the confidentiality provisions of the Patient Safety Act and Rule, the Church Amendments, section 245 of the Public Health Service Act, and the Weldon Amendment. What is required for a compliance program to be effective? a. The compliance program needs to be reviewed daily for any compliance updates. b. Regularly review and update the compliance program. c. The compliance program must be reviewed by healthcare lawyers. d. The compliance program needs to be reviewed weekly for any compliance updates. - -b. Regularly review and update the compliance program. Rationale: Simply implementing a compliance program is not enough. It will need to be reviewed and updated on a regular basis. Which federal government departments is the OIG NOT responsible for overseeing? a. Centers for Medicare & Medicaid Services b. Centers for Disease Control and Prevention c. U.S. Food & Drug Administration d. Drug Enforcement Agency - -d. Drug Enforcement Agency Rationale: The OIG is responsible for overseei