Cpma 2024 - Study guides, Class notes & Summaries

CPMA Test Questions and Correct Answers | Latest Update 2024/2025 | 100% PASS 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...

CPMA Exam Questions and Answers

CPMA Exam | Questions and Correct Answers | Latest Update 2024/2025 | 100% PASS 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, ...

Chapter 1 CPMA Exam Prep | Questions and Correct Answers | Latest Update 2024/2025 | 100% PASS 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 determin...

CPMA- Chapter one exam | Questions and Correct Answers | Latest Update 2024/2025 | 100% PASS 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, t...

CPMA Questions and Correct Answers | Latest Update 2024/2025 | 100% PASS B. If documentation supports the service, have the staff contact the carrier to reprocess the claims. Code 33010 was valid for the date of service billed. Rationale: The effective dates of codes are date of service driven. New CPT® codes become effective January 1st of every year. When auditing, verify codes based on the codes that were valid during the date of service. - Answer -In February 2020, an auditor is as...

CPMA TEST EXAM | Questions with 100% Correct Answers | Verified | Updated 2024

CPMA STUDY Questions and Correct Answers | Latest Update 2024/2025 | 100% PASS 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 plan request and denial. Exclusion Statute - Answer -1.Physicia

CPMA Exam with Complete Solutions 2024 B. If documentation supports the service, have the staff contact the carrier to reprocess the claims. Code 33010 was valid for the date of service billed. Rationale: The effective dates of codes are date of service driven. New CPT® codes become effective January 1st of every year. When auditing, verify codes based on the codes that were valid during the date of service.In February 2020, an auditor is asked to review 10 records for date of servi...