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CPCO Exam Prep | 36 Questions with 100% Correct Answers | Latest Update 2024 | Rated A+
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CPCO Exam Prep | 36 Questions with 100% Correct Answers | Latest Update 2024 | Rated A+
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CPCO Exam Prep | 36 Questions with 100% CorrectAnswers | Latest Update 2024 | Rated A+
A basic concept in the Anti-Kickback safe harbors and Stark exceptions is that financial
transactions between potential referring parties be conducted under what condition? -
✔✔fair market value
Which type of fraud covers any criminal fraudulent activity that has been determined to
have involved electronic communications of any kind? - ✔✔Federal wire fraud (18 USC1343)
If physician recruitment arrangements are not properly structured it can result in -
✔✔Significant fines and penalties.
Tim is the HR Director at XYZ Family Provider Group. He wants to avoid liability for employing
excluded entities or providers. He should check the OIG List of Excluded Individuals Entities
on the OIG website how often? - ✔✔Prior to hiring and monthly thereafter
Stark law bans certain financial arrangements between a referring physician and an entity
that bills the Medicare or Medicaid programs. An example of this is if a physician or his
____________ has a financial relationship with an entity: - ✔✔Wife (only for family cousin is
not included.)
Which law increases the severity of penalties for violations involving organized crime?
- ✔✔RICO Act
The Apple Internal Medicine Group is having a board meeting. Tim, the Compliance Officer
explains that ________ is the most important concern for the Apple Internal Medicine Group
Human Resource Department: - ✔✔Patient Safety and Information Security
, John is a student reviewing the information regarding compliance and wants to know "Who"
or what agency is responsible for oversight of the Medicare and Medicaid Programs? - ✔✔The
U.S. Department of Health & Human Services (HHS)
A qui tam complaint is initially sealed for how many days? - ✔✔60
Hospitals are prohibited from making payments, directly or indirectly, to a physician as an
inducement to reduce or limit services provided to Medicare or Medicaid patients. The hospital
is subject to a civil money penalty of not more than how much for each individual for whom a
payment is made? - ✔✔$2,000
Tim is the Compliance Officer for the Apple Internal Medicine Group. He conducts the in-
service training for all new employees. He discusses the 5 most important federal fraud and
abuse laws. These are: - ✔✔FCA, AKS, Stark, Exclusion, CMPL
Joan is an employee at XYZ Family Practice. She asks the Compliance Office what should you do
when you find out one of your employees has been excluded from government programs? -
✔✔Suspend the employee, request documentation, and investigate the matter.
Which Act authorized the imposition of Civil Monetary Penalties against health care providers and
entities that employ or enter into contracts with excluded individuals or entities to provide items
or services to federal program beneficiaries? - ✔✔The Balanced Budget Act (BBA)
Hannah is afraid that if she reports the allegation of fraud that she thinks is occurring at her
medical office that she will be fired. Could this occur? - ✔✔Yes, but the employer would be
in violation of the Whistleblower Protection Law.
If the government intervenes in the qui tam action, the relator is entitled to receive how much
of the amount recovered by the government through the qui tam action? - ✔✔between 25
and 30 percent
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