Bundled exams for CPMA Exam Correct Questions & Answers

What elements must be in a medical record - ANSWER Patient ID, Assignment of Benefits, medical history, immunizations, physical exam, lab report, clinical impression, physician orders What is the minimum signature assignment of the author of entry in the medical record? - ANSWER First initial, La...

CMS Fraud Definition - ANSWER Making false statements or misrepresenting facts to obtain an undeserved benefit or payment from a federal healthcare program CMS Fraud Definition - ANSWER Making false statements or misrepresenting facts to obtain an undeserved benefit or payment from a federal heal...

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 r...

You are performing an audit of evaluation and management services for a family practice office. In the encounter, you read the physician order and reviewed a differential WBC. Which of the following best describes what you would expect to see in the medical record? - ANSWER Patient identification, a...

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 external audit malpractice litigation and health pl...

Which below is NOT one of the CAT I subsections: a. Anatomic b. Procedural c. Condition d. Service Type - ANSWER d. Service Type Code for influenza immunization status assessed (CAP) a. 1030F b. 1031F c. 1026F d. 1040F - ANSWER a. 1030F. Influenza immunization status assessed (CAP) Wha...

12.1% - ANSWER # of improper Medicare Fee-For-Service claim payments, according to Federal Government. FFS - ANSWER Fee-For-Service Prepayment Review - ANSWER Review of claims prior to payment. Prepayment reviews result in an initial determination. Postpayment Review - ANSWER Review of clai...

The Joint Commission requires that Factors that Affect Learning must be ascertained for a hospital or hospital owned physician practice when assessing this element what does this include? - ANSWER *The patients ability to read, method learning, & understanding. *Any language or physical disabilitie...

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 ability to read, method of learning and understan...

When non-compliance is identified, what does the OIG recommended? a .Take disciplinary action and document the date of the incident, name of the reporting party, name of the person responsible for taking action, and the follow-up action taken. b. Take disciplinary action and document the date ...

Which option is NOT part of the seven elements that should be included in a compliance plan based on the OIG's recommendations? a. Responding promptly to detected offenses and developing corrective action. b. Conducting effective training and education. c. Identifying employees on the exclusions...

The first initial, last name and credentials - ANSWER What is the minimum signature assignment(s) of the author of an entry in the medical record? Personal biographical data and consent for treatment or authorization for treatment form - ANSWER Based on Joint Commission accreditation guidance for...

Which statement is true regarding an audit performed on charts for Medicare beneficiaries? - ANSWER National CMS policies and local MAC policies should be utilized when performing Medicare audits. In addition to CMS it is necessary to know your Medicare Administrative Contractor that supports the lo...

If a covered entity identifies material breach of a contract agreement with a business associate and the contract is terminated the problem is reported to: - ANSWER Office for Civil Rights (OCR) Which is an example under the Privacy Rule that requires a written agreement to disclose protected hea...