Qui tam - Study guides, Class notes & Summaries
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CPMA Exam Questions & Answers
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CPMA Exam Questions & Answers 
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...
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CPMA Exam questions with complete answers
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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...
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AAPC CPB - Chapter 1 Review questions with correct answers
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What does the acronym PHI stand for? 
 
a. Patient Healthcare Information 
b. Patient History of Illness 
c. Protected Health Information 
d. Protected Healthcare Index Answer c. Protected Health Information 
 
A new radiology company opens in town. The manager calls your practice and offers to pay $20 for every Medicare patient you send to them for radiology services. What does this offer violate? 
 
a. Stark Laws 
b. HIPAA 
c. Anti-Kickback law 
d. Qui Tam Answer c. Anti-Kickback law 
 
Which ...
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CPMA Exam Complete Questions And Answers With Latest Quiz
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CPMA Exam Complete Questions And Answers With Latest Quiz 
 
CMS Fraud Definition Correct Answer: Making false statements or misrepresenting facts to obtain an undeserved benefit or payment from a federal healthcare program 
 
CMS Abuse Definition Correct Answer: An action that results in unnecessary costs to a federal healthcare program, either directly or indirectly 
 
CMS Examples of Fraud Correct Answer: Billing for services and/or supplies that you know were not furnished or provided, alter...
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CPB EXAM QUESTIONS With Correct Answer.
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1. The biller at a medical practice has identified $575 in Medicare overpayments. After verification, they are presented to the office manager, who tells the biller not to write the refund check. The medical practice is going to put the money in their general account instead. What act does this action violate? 
 
A.Truth in Lending Act 
B.Health Insurance Portability and Accountability Act 
C.Administrative Simplification Rule 
D.False Claims Act - correct answer 1.Answer: D. False Claims Act 
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CMOM-Practice Management Institute Questions With Complete Solutions.
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HIPPA REGULATION: Privacy Overview - There are three major areas addressed in the Privacy 
Regulation: 1. Use and disclosure of PHI, 2. Patient rights 3. Security administrative and physical 
Business Associates - can be held directly accountable by federal or state authority for failure to 
comply with HIPAA statutory or regulations. ex. IT techs, Janitors, Cleaning Services, Vendors, Collection 
agencies, Consultants and Billing Services. 
Entities - ex. doctors, hospitals, pharmacy 
Breach - ...
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CPMA EXAM QUESTIONS AND ANSWERS
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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.Physician is banned from participating in any federal or state healthcare program by OIG 2. They can't bill federal or state for any services ...
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AAPC CPB - Chapter 1 Review Updated 2024/2025 Actual Questions and answers with complete solutions
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CMS defines ___________ as billing for a lower level of care than is supported in documentation, making 
false statements to obtain undeserved benefits or payment from a federal healthcare program, or billing 
for services that were not performed. 
a. Fraud 
b. Abuse 
c. a Stark violation 
d. an Anti-kickback - Answer-a. Fraud 
A patient is seen in your clinic. Her husband calls later in the day to ask for information about the visit. 
The practice pulls the patient's privacy authorization to s...
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CPMA Exam Questions and Answers All Correct
- Exam (elaborations) • 73 pages • 2023
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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...
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CPMA STUDY QUESTIONS AND ANSWERS
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CPMA STUDY QUESTIONS AND ANSWERS 
WHAT IS THE IMPORTANCE OF AUDIT IN A PRACTICE? - Correct ️️ 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 - Correct ️️ 1.Physician is banned from participating in any federal or state 
healthcare program by OIG 2. T...
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