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CPMA Practice Test C Questions and Answers

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CPMA Practice Test C Questions and Answers When auditing operative notes, the auditor will expect to see documentation from all of the following except - Answer-Surgical assistants According to the Health Insurance Portability and Accountability Act of 1996 (HIPAA), an outside auditor must sig...

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  • October 15, 2024
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  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
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CPMA Practice Test C Questions and
Answers

When auditing operative notes, the auditor will expect to see documentation from all of the

following except - Answer✔✔-Surgical assistants


According to the Health Insurance Portability and Accountability Act of 1996 (HIPAA), an outside

auditor must sign which of the following agreements prior to reviewing and auditing any

medical records? - Answer✔✔-Business Associate Agreement


The HIPAA Privacy Rule defines "minimum necessary" as typically requiring healthcare

employees to - Answer✔✔-Follow policies and procedures developed by the covered entity

which limit use and disclosure


of PHI to that which is needed to accomplish the intended purpose to perform the duties of

their job


When auditing an ENT practice, you discover the practice uses an EMR. Which of the following

options would you look for when reviewing documents created in the electronic medical record

or notes created using templates that may be indicators of misuse? - Answer✔✔-Complete

medical histories on each visit, diagnosis driven by clinical picture, repetitious notes not

relevant to presenting problem




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State law will take precedence over HIPAA under which of the following circumstances -

Answer✔✔-If HIPAA is less restrictive than state law


When providing a prescription for a patient, the education of the patient (including side effects

and supporting


documentation) in the medical record that the information was reviewed is based on which of

the following standards? - Answer✔✔-Joint Commission standards


A deliberate misrepresentation of facts to gain unauthorized benefits is the definition of -

Answer✔✔-Fraud


What is an action resulting in unnecessary costs, whether directly or indirectly, to a federal

healthcare plan considered? - Answer✔✔-Abuse


When responding to a subpoena for medical records, which of the following documents would

likely NOT be required to be copied and submitted: - Answer✔✔-Signed authorization for

release of information


Dr. Black receives a demand letter from the OIG stating the sanctions are sought under CMP for

claims submitted by Dr. Black. He asks you, his auditor, to review the letter and the claims that

are under scrutiny. It is determined that Dr. Black should not agree with the demand letter. You

recommend that Dr. Black: - Answer✔✔-Request a hearing before an HHS administrative court

judge




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