CPMA Exam Questions and Answers |
100% Pass
The Joint Commission (JC) requires the Factors that Affect Learning must be
assessed for a hospital or hospital owned physician practice as well as other health
care facilities. When assessing this element what does this include?
A. The patient's abi...
D. After performing a procedure and finding it is denied. - Answer✔✔-B. Prior to
performing a procedure that may be denied due to medical necessity for a Medicare
beneficiary.
Under a Corporate Integrity Agreement (CIA), how many claims must be randomly
selected to review to determine the financial error rate?
A. 15
B. 50
C. 75
D. 100 - Answer✔✔-B. 50
When using LCDs and CMS program Guidance as a resource for an audit, what should
the auditor keep in mind?
A. QICs are bound by NCDs, LMRPs, and CMS Program guidance, but ALJs and MACs
are not.
B. Local carriers and QICs are bound by LCDs and LMRPs
C. Local carries follow LCDs, LMRPs, and CMS program guidance, but QICs, ALJs, and
MACs are not bound by them.
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