CPCO CERTIFICATION EXAM AND PRACTI CE EXAM

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CPCO CERTIFICATION EXAM AND PRACTI CE EXAM

NEWEST 2024 ACTUAL EXAM 400 QUESTIONS AND

CORRECT DETAILED ANSWERS ( VERIFIED

ANSWERS) |ALREADY GRADED A+

CPCO CERTIFICATION EXAM

When conducting compliance training within a physician practice, what is one of the goals that the practice should strive for in this training?

• Only new employees will receive training on how to perform their

jobs in compliance with the standards of the practice and any applicable regulations.

• Managers of employees will receive training on how to perform their

jobs in compliance with the standards of the practice and any applicable regulations.

• All employees will receive training on how to perform their jobs in

compliance with the standards of the practice and any applicable regulations.

• All employees will receive training on the definition of compliance. -

ANSWER- C. All employees will receive training on how to perform their jobs in compliance with the standards of the practice and any applicable regulations.

What is the goal of ongoing auditing and monitoring in a physician's practice?

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• Ongoing auditing and monitoring will prevent fraud
• Ongoing auditing and monitoring will enhance revenues by detecting

instances of undercoding.

• 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.

• Ongoing auditing and monitoring will improve the quality of patient

care. - ANSWER- C. 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.

A compliance program's plan for communication should include a provision for non-retaliation for reporting fraudulent conduct. Which method below helps ensure that an employee would be free from retribution?

• A clearly defined chain of command for reporting potentially

fraudulent conduct

• Guaranteed anonymity
• Well-publicized disciplinary actions for retaliation
• A policy that encourages reporting directly to the OIG - ANSWER-
• Well-publicized disciplinary actions for retaliation

What does the HHS OIG suggest as possible warning signs that non- compliance may exist?

• Significant change in the number or type of claim rejections. 2 / 4

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• Getting carrier newsletters pertaining to the types of service that your

practice bills.

• Consistent use of certain codes.
• Receipt of carrier requests for documentation. - ANSWER- A.

Significant change in the number or type of claim rejections.

Having the ability to respond to issues enables a practice to develop effective action plans to correct problems and prevent future problems from occurring. What is one step that can be taken to establish compliance effectiveness for responding to and/or preventing compliance issues?

• Create a response team, consisting of representatives from the

compliance and audit department.

• Create a response team, consisting of representatives from

compliance, audit, and any other relevant functional department.

• Create an investigation team, consisting of representatives from

compliance, audit, and any other relevant functional department.

• Create a prevention team, consisting of representatives from

compliance, audit, and any other relevant functional department. - ANSWER- B. Create a response team, consisting of representatives from compliance, audit, and any other relevant functional department.

A physician office laboratory is authorized to perform urinalysis testing, including the microscopic analysis under their Provider-Performed Microscopy Procedures (PPMP) certification. It has been the physician's experience that many of his patients that have urinalysis testing done also requires the microscopic exam. Because of this and to be able to 3 / 4

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provide better treatment, he has established an office policy that for all urinalysis testing performed in his office, the lab should also perform the microscopic test. Is this a compliance risk?

• Yes. Performing the microscopic test on all patients when the results

of the urinalysis are negative could be considered medically unnecessary.

• Yes. The physician must always order the code for the urinalysis test

with the microscopic exam to avoid unbundling.

• No. Because the physician is providing quality patient care, there is

no compliance risk.

• No. The physici - ANSWER- A. Yes. Performing the microscopic

test on all patients when the results of the urinalysis are negative could be considered medically unnecessary.

Billing companies should have written policies and procedures that reflect and reinforce Federal and State statutes. These policies must create a mechanism for the billing or reimbursement staff to communicate effectively and accurately with the health care provider.Which of the following policies and procedures should a billing office have in place to meet these needs?

• Conclude that claims may be submitted when note has been started

but not yet finalized by the physician as long as a signed affidavit is in place in the office granting the staff power to provide coding based on preliminary reports.

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