Chapter 5 cpma exam - Study guides, Class notes & Summaries
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CPMA EXAM chapter 5 Questions and Answers
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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...
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CPMA EXAM chapter 5 Questions and Answers
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CPMA EXAM chapter 5
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Chapter 1 CPMA Exam Prep Questions and Answers 100% Solved
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Chapter 1 CPMA Exam Prep 
Questions and Answers 100% Solved 
12.1%# of improper Medicare Fee-For-Service claim payments, according to Federal 
Government. 
FFSFee-For-Service 
Prepayment ReviewReview of claims prior to payment. Prepayment reviews result in an 
initial determination. 
Postpayment ReviewReview of claims after payment. May result in either no change to the 
initial determination or a revised determination, indicating an underpayment or overpayment. 
UnderpaymentA payment a provi...
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CPMA Exam Chapter 5: Communication Under Corporate integrity Agreement CPMA 2023(All of chapter 4) CPMA Chapter 5 Review Question and answers 100% correct 2023
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CPMA Exam Chapter 5: Communication Under Corporate integrity Agreement CPMA 2023(All of chapter 4) CPMA Chapter 5 Review Question and answers 100% correct 2023 
In some circumstances, as part of a settlement agreement involving repayment of money to the government, the government will impose - correct answer a Corporate Integrity Agreement (CIACPMA Chapter 5 Review 
An audit performed after the claims have been submitted in referred to as what type of audit? - correct answer Retrospective...
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CPMA Exam Chapter 5: SelfDisclosure Audits | Questions and Correct Answers | Latest Update 2024/2025 | 100% PASS
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CPMA Exam Chapter 5: SelfDisclosure Audits | Questions 
and Correct Answers | Latest 
Update 2024/2025 | 100% 
PASS 
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 ...
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CPMA Exam Chapter 5: Communication Under Corporate integrity Agreement | Questions and Correct Answers | Latest Update 2024/2025 | 100% PASS
- Exam (elaborations) • 4 pages • 2024
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CPMA Exam Chapter 5: 
Communication Under 
Corporate integrity Agreement 
| Questions and Correct 
Answers | Latest Update 
2024/2025 | 100% PASS 
In some circumstances, as part of a settlement agreement involving 
repayment of money to the government, the government will impose - 
Answer -a Corporate Integrity Agreement (CIA) 
A CIA (Corporate Integrity Agreement) is - Answer -an imposed 
compliance program, usually in force for five (5) years. 
During the time (usually 5 years) of an imposed C...
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Chapter 1 CPMA Exam Prep Questions and Answers Fully solved 2023
- Exam (elaborations) • 15 pages • 2023
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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. 
 
 
...
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CPMA Exam Chapter 5 Question and answers 2023 verified to pass
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CPMA Exam Chapter 5 Question and answers 2023 verified to pass
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Chapter 1 CPMA Exam Prep Questions And Answers
- Exam (elaborations) • 15 pages • 2023
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Chapter 1 CPMA Exam Prep Questions And Answers 
12.1% - ANS # of improper Medicare Fee-For-Service claim payments, according to Federal Government. 
 
FFS - ANS Fee-For-Service 
 
Prepayment Review - ANS Review of claims prior to payment. Prepayment reviews result in an initial determination. 
 
Post Payment Review - ANS Review of claims after payment. May result in either no change to the initial determination or a revised determination, indicating an underpayment or overpayment. 
...
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CPMA Exam - Chapter 5: Corrective action Plans | Questions and Correct Answers | Latest Update 2024/2025 | 100% PASS
- Exam (elaborations) • 6 pages • 2024
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CPMA Exam - Chapter 5: 
Corrective action Plans | 
Questions and Correct 
Answers | Latest Update 
2024/2025 | 100% PASS 
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 ...
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