Cpma exam chapter 3 2024 - Study guides, Class notes & Summaries

CPMA Exam Chapter 3 | Questions and Correct Answers | Latest Update 2024/2025 | 100% PASS Accurate reimbursement begins with - Answer -accurate coding and rules that vary by payer The CPT codebook contains - Answer -instructions, coding guidelines, parenthetical notes, and symbols to provide guidance for proper coding. Not all payers follow CPT coding guidelines. - Answer -An auditor must be able to apply payer variations to the CPT guidelines during an audit, and must communicate the ...

CPMA Exam Chapter 3 | Questions and Correct Answers | Latest Update 2024/2025 | 100% PASS Accurate reimbursement begins with - Answer -accurate coding and rules that vary by payer The CPT codebook contains - Answer -instructions, coding guidelines, parenthetical notes, and symbols to provide guidance for proper coding. Not all payers follow CPT coding guidelines. - Answer -An auditor must be able to apply payer variations to the CPT guidelines during an audit, and must communicate the ...

CPMA Exam Chapter 3 questions and correct answers latest 2023/2024

Chapter 1 CPMA Exam Prep Questions and Answers | 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 determination, indicating an underpayment or overp...

CPMA Exam Chapter 3 with complete solutions 2024_2025

CPMA Chapter 5 - Analysis and Report of Audit Findings Exam Questions and Answers | 100% Pass Understanding how to develop and draft a well-structured and detailed audit report is - Answer-a critical skill for any competent auditor. The audit report should identify the key findings and present the analysis, rationale and recommendations in a format that is - Answer-easy for the auditee to read, understand and apply Components of the Audit Report - Answer-Background Summary of Audit Find...

CPMA Exam Chapter 3 Study Guide with Complete Solutions Accurate reimbursement begins with - Answer-accurate coding and rules that vary by payer The CPT codebook contains - Answer-instructions, coding guidelines, parenthetical notes, and symbols to provide guidance for proper coding. Not all payers follow CPT coding guidelines. - Answer-An auditor must be able to apply payer variations to the CPT guidelines during an audit, and must communicate the differences in a way that will make sen...

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 ...

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 ...