CPMA STUDY QUESTIONS WITH
COMPLETE SOLUTIONS
WHAT IS THE IMPORTANCE OF AUDIT IN A PRACTICE? - Answer-1. Reviewing quality of care
provided to patients. 2. Educating providers on documentation. 3. Ensuring all services are
supported and all appropriate revenue is captured. 4. Defending against e...
what percentage is offered for a whistleblower/qui tam as an award from what is recovered by
the government? - Answer✔✔-between 15% and 25%
fraud - Answer✔✔-Knowingly making false statements or misrepresenting facts to obtain an
undeserved benefit or payment from federal healthcare program
Discovery sample - Answer✔✔-CIA - 50 samples units randomly selected *determines the net
financial error rate .2 if error rate exceeds 5% a full sample must be reviewed
HHS OIG 3 core publications - Answer✔✔-1.work plan
2.semiannual report to congress
3. compendium unimplemented recommendation
non-compliant conduct must be documented in compliance files & should include - Answer✔✔-
1. date of incident
2.name of the reporting party
3.name of the person responsible for taking action
4.the follow up the action taken
What is an auditor - Answer✔✔-Reviews healthcare providers policies add procedures to ensure
compliance with applicable requirements
cms uses what avenues to deliver Information - Answer✔✔-1.webcasts
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