Cpma exam questions - Study guides, Class notes & Summaries

CPMA Exam Questions with Correct Answers 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 of the incident, name of the reporting party, name of the person responsible for taking action,and the follow-up action taken. c. Immediately terminate emp...

CPMA Exam Questions and Answers All Correct 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 r...

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

CPMA Exam Questions with All Correct Answers 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 understanding. B. Any language or physical disabilities. C. Cultural beliefs. D. All the above - Answer-D. All the above Report copies and printouts, f...

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 receive a higher payment amount, billing a Medi...

CPMA Exam Questions and Answers All Correct 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 Questions And Answers CMS Examples of Abuse Misusing codes on a claim, charging excessively for services or supplies, billing for services that were not medically necessary, failure to maintain adequate medical or financial records, improper billing practices, billing Medicare patients a higher fee schedule than non-Medicare patients False Claims Act Any person is liable if they knowingly present or cause to be presented a false or fraudulent claim for payment or approval; kn...

Cpma Exam Questions And Answers A provider consistently charges a higher level E/M service than is documented to help cover the cost of his declining practice. Would this be fraud or abuse Why? a. Abuse,charging one level higher on each visits does not show intent. b. Abuse; the provider's practice is common and therefore would not be considered fraudulent . c. Fraud; and over-coding of services would be considered fraudulent. d. Fraud; the provider intentionally over-coded to gain fi...

CPMA EXAM QUESTIONS AND ANSWERS