CPMA Chapter 6 Review Questions and Answers (100% Pass)
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Course
CPMA
Institution
CPMA
What is the reason audit findings should be discussed with the provider
audited?
To provide a risk analysis, identify problem areas, and recommend
corrective action with supporting documentation
What type of information can be found In The providers contract with the
insurance carrier?
T...
Under the reverse false claims provisions of the False Claims Act, what must
be understood by an auditor?
✓ Declaring an audit error without binding standards inappropriately
exposes the audited provider to FCA liability
In an audit report, what should be included in the background component?
✓ Identify of the entity, provider being audited, audit objectives, type of
audit, scope of audit, and identity and qualifications of the auditor
should be detailed
Which audit example below represents a prospective audit?
✓ An audit to evaluate if a provider's documentation supports ICD 10 CM
coding
What is a rebuttal audit?
✓ An audit in response to a payer audit , and the auditor is tasked with
validating or refuting the conclusion of the payer
In an audit report, which section would identify the specific binding standards
or criteria that were applied during the course of the audit?
Master01 | September, 2024/2025 | Latest update
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