CPMA CERTIFICATION EXAM
QUESTIONS WITH CORRECT ANSWERS
Informed consent for treatment includes - Answer-a. Patient's diagnosis if known
b. Nature and purpose of treatment
c. Risks and benefits of treatment
d. Alternative treatment options and their benefits and e. e. Risks and benefits of not
receiving any treatment
The FCA allows for reduced penalties (mitigation) if the person self discloses and: -
Answer-(A) The person responsible furnishes officials of the United States responsible
for investigating false claims violations with all information known to such person about
the violation within 30 days after the date on which the defendant first obtained the
information;
(B) Such person fully cooperates with the investigation of such violation
(C) At the time such person furnishes the information about the violation, no criminal
prosecution, civil action, or administrative action has commenced under this title with
respect to such violation, and the person did not have actual knowledge of the existence
of an investigation into such violation.
If the person committing the violation self-discloses, the court may assess not less than:
- Answer-Two times the amount of damages (as opposed to three times), which the
government sustains because of the act of that person.
If a compliance violation is found in a practice, the following must be documented in the
practice's compliance file: - Answer-a. Date of incident
b. Name of the reporting party
c. Name of the person responsible for taking action
d. The follow-up action taken.
Parameters for RAT-STATS to be pulled: - Answer-5% error rate and 95% confidence
level
A proportional sample is based on - Answer-High frequency items or those that are
considered proportionally significant.
The following elements must be in the medical record - Answer-Patient identification,
assignment of benefits, patient's medical history, immunizations, physical examination,
lab report, clinical impression, and physician orders. When labs are ordered, there must
be a copy of the order and the lab report that the physician has reviewed.
In a case of false or fraudulent claims, the OIG may seek a penalty of up to: - Answer-
$11,000 for each item or service improperly claimed, and an assessment of up to three
times the amount improperly claimed.
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