Cpco practice test - Study guides, Class notes & Summaries

CPCO Exam Questions and Verified Answers (2023/ 2024 Update) 1. What is the goal of ongoing auditing and monitoring in a physician's practice? ~ Answer: Ongoing auditing and monitoring will evaluate whether the physician practice's standards and procedures are current and accurate and whether the compliance program is working. 2. A compliance program's plan for communication should include a provision for non-retaliation for reporting fraudulent conduct. Which method below help...

CPCO Certification Exam| Questions and Verified Answers| 2023/ 2024 Update Q: What does the HHS OIG suggest as possible warning signs that non-compliance may exist? A. Significant change in the number or type of claim rejections. B. Getting carrier newsletters pertaining to the types of service that your practice bills. C. Consistent use of certain codes. D. Receipt of carrier requests for documentation. Answer: A. Significant change in the number or type of claim rejections. ...

What is the purpose of HIPAA? – • Protect PHI from unauthorized disclosure/use; • Prevent fraud, waste and abuse (via Administrative Simplification); • Make health insurance portable under ERISA; • Move health care onto a nationally standardized electronic billing platform HIPAA resides in which CFR section? - 45 CFR sections 164.102 through 164.534 What are the subparts of HIPAA part 164? - HIPAA - 45 CFR 164, subparts: Subpart A - General rules Subpart C - Security Subpart D -...

CPCO Exam Review Questions and Answers | Latest Update | Graded A+. Which component of the OIG has a duty of conducting audits, which results in reducing waste, abuse and mismanagement? - Answer Office of Audit Services According to Inspector General Daniel Levinson, what can help reduce enforcement on a provider from a CIA to a CCA? - Answer Have a robust and effective compliance program A majority of the OIG's resources goes to oversight of which programs? - Answer Medicare and Medicai...

When a patient has a blood test for HIV that is inconclusive, what ICD-10-CM code is assigned a. Z21 b. R75 c. B20 d. Z11.4 - ANSWER-b. R75 What does MRSA stand for a. Methicillin Resistant Staphylococcus Aureus b. Methicillin Resistant Streptococcus Aureus c. Moderate Resistance Susceptible Aureus d. Mild Resistance Step to coccus Aureus - ANSWER-a. Methicillin Resistant Staphylococcus Aureus What does the forth character in diabetes mellitus diabetes codes indicate? a. The...

CPCO EXAM Question 1 Under Public Law 104-191, the Health Insurance Portability and Accountability Act of 1996 (HIPAA), what is the name of the national program designed to coordinate Federal, State and local law enforcement activities with respect to health care fraud and abuse? - ANS Health Care Fraud and Abuse Control Program (HCFAC) Question 2 According to the Federal Sentencing Guidelines, "To have an effective compliance and ethics program..., an organization shall exercis...

A healthcare provider must repay to Medicare money paid for a specific type of billed claim. What type of audit is the MOST likely one used to identify the amount of repayment? - Answer- Full statistical audit A Physician practice are having a hard time determining which claims have been paid in full, and which claims have not been paid at all. What test would be practical for the group to perform to validate the claims that have been paid or not paid. A. Statistical Sampling B. Rat-Stats ...

CPCO practice test

CPCO practice test