Cpma chapter one exam - Study guides, Class notes & Summaries

CPMA EXAM chapter 5 Exam Questions And Answers What is considered good parameters for a baseline audit? Random audit of 10-15 records per practitioner along with office and surgical procedures selected procedures selected randomly. Which resource is valuable when performing a surgical audit? NCCI Manual assists the auditor in determining bundling issues with CPT code services provided. What is non-statistical sampling? Sample based on unique services that were defined in the objective...

CPMA Chapter 1 Exam Prep With 100% Correct Answers 12.1% - Correct Answer-# of improper Medicare Fee-For-Service claim payments, according to Federal Government. FFS - Correct Answer-Fee-For-Service Prepayment Review - Correct Answer-Review of claims prior to payment. Prepayment reviews result in an initial determination. Postpayment Review - Correct Answer-Review of claims after payment. May result in either no change to the initial determination or a revised determination, indicatin...

CPMA- Chapter one exam Question and answers 2023 verified to 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. - correct answer D. Modifiers are not applicable to the edits, the NCCI edit i...

CPMA- Chapter one exam Questions and Answers Graded A+ 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. D. Modifiers are not applicable to the edits, the NCCI edit is not in effect. Rationale: ...

CPMA EXAM chapter 5 Questions & Answers Which statement is true regarding an audit performed on charts for Medicare beneficiaries? - Correct ️️ National CMS policies and local MAC policies should be utilized when performing Medicare audits. In addition to CMS it is necessary to know your Medicare Administrative Contractor that supports the location where services are rendered for example 4x4 rule. How often should an internal audit be conducted minimally? - Correct ️️ Annually (more...

CPMA EXAM chapter 5 Questions and Answers Which statement is true regarding an audit performed on charts for Medicare beneficiaries? - Correct ️️ National CMS policies and local MAC policies should be utilized when performing Medicare audits. In addition to CMS it is necessary to know your Medicare Administrative Contractor that supports the location where services are rendered for example 4x4 rule. How often should an internal audit be conducted minimally? - Correct ️️ Annually (mo...

Chapter 1 CPMA Exam Prep Questions and Answers Fully solved 2023 12.1% # of improper Medicare Fee-For-Service claim payments, according to Federal Government. FFS Fee-For-Service Prepayment Review Review of claims prior to payment. Prepayment reviews result in an initial determination. Postpayment Review Review of claims after payment. May result in either no change to the initial determination or a revised determination, indicating an underpayment or overpayment. ...

CPMA 2023 (All of chapter 4) Questions and Answers Graded A+ Which procedure is exempt from Modifier 5? 93456 Which of the following code combination are NOT subject to a multiple procedure payment reduction? 32666, 32764 In febuary 2018, an auditor is asked to review 10 records for date of service 12/1/2017 to make sure the claims were paid correctly. The claims included code 55450, which was denied on all the claims. The denial was for an invalid code. What should the auditor ...

Chapter 1 CPMA Exam Prep questions and answers 100% guaranteed success. 12.1% - correct answers.# of improper Medicare Fee-For-Service claim payments, according to Federal Government. FFS - correct answers.Fee-For-Service Prepayment Review - correct answers.Review of claims prior to payment. Prepayment reviews result in an initial determination. Postpayment Review - correct answers.Review of claims after payment. May result in either no change to the initial d...

Chapter 1 CPMA Exam Prep, Questions and answers, 1005% accurate, Verified. 12.1% - -# of improper Medicare Fee-For-Service claim payments, according to Federal Government. FFS - -Fee-For-Service Prepayment Review - -Review of claims prior to payment. Prepayment reviews result in an initial determination. Postpayment Review - -Review of claims after payment. May result in either no change to the initial determination or a revised determination, indicating an underpayment or overpaym...