Cpma practice exam a 2025 - Study guides, Class notes & Summaries

AAPC CPMA Practice Exam Study Questions and 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, Last Name and credentials Based on the JC accreditation guidelines for personal data, what 2 elements must be evident in the medical record? - An...

CPMA Exam Study Guide with Complete Solutions CMS Fraud Definition - Answer-Making false statements or misrepresenting facts to obtain an undeserved benefit or payment from a federal healthcare program CMS Abuse Definition - Answer-An action that results in unnecessary costs to a federal healthcare program, either directly or indirectly CMS Examples of Fraud - Answer-Billing for services and/or supplies that you know were not furnished or provided, altering claim forms and/or receipts to ...

CPMA Exam - Chapter 5: Corrective action Plans Questions and Answers Except in the case of routine or annual compliance audits conducted on behalf of providers that do not have formal compliance programs or staff, - Answer-it is not usually the auditor's responsibility to develop a corrective action plan. In the case of audits associated with voluntary repayments or disclosures under the SDP (Self Disclosure Protocol) for potentially fraudulent conduct, - Answer-it usually falls to the ...

CPMA practice exam Questions and Answers Which of the following forms gives permission for the payer to send payment to the provider? - Answer-Assignment of Benefits Which is a TRUE statement for radiology orders in a medical record? - Answer-It is not necessary for the orders to be maintained in the patient's file, but they must be maintained by the facility Which type of signature is NOT allowed according to the Medicare Program Integrity Manual? - Answer-Stamped signatures Which E...

CPMA practice exam A Study Guide SOAP - Answer-Subjective, Objective, Assessment, Plan CHEDDAR - Answer-Chief complaint, Hx, Exam, Details of problem/complaint, Drugs & dosages, Assessment, Return visit Subjective - Answer-Pt complaint Objective - Answer-Provider observation Assessment - Answer-Medical Dx Plan - Answer-Treatment You are performing an audit of e/m services for a FP office. In the encounter you read the physician ordered and reviewed a differential WBC. What elements woul...

CPMA Exam Chapter 5: Self-Disclosure Audits Study Guide The OIG Self-Disclosure Protocol (SDP) provides the - Answer-ability to self-disclose potential instances of fraud involving federal healthcare programs for which liability arises under the OIG's civil money penalty authorities The SDP (Self-Disclosure Protocol) is not for reporting of - Answer-potential or actual Stark (self-referral) violations; It is not a means to obtain an advisory opinion to determine if the suspect conduct ...

Chapter 1 CPMA Exam Prep Questions and Answers 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 claims after payment. May result in either no change to the initial determination or a revised determination, indicating an underpayment or overpayment. Und...

CPMA- Chapter one exam Questions and Answers In the NCCI edits, what does modifier indicator nine (9) represent? A modifier may be used to bypass the edits if the documentation supports the modifier. B. A modifier is not allowed to bypass the NCCI edits. C. Only modifier 59 can be used to bypass the edit. D. Modifiers are not applicable to the edits, the NCCI edit is not in effect. - Answer-D. Modifiers are not applicable to the edits, the NCCI edit is not in effect. Rationale: The Correc...