Cpma exam 2025 - Study guides, Class notes & Summaries

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...

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 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 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 ...

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...

CPMA practice exam A | Questions and Correct Answers | Latest Update 2024/2025 | 100% PASS SOAP - Answer -Subjective, Objective, Assessment, Plan CHEDDAR - Answer -Chief complaint, Hx, Exam, Details of problem/complaint, Drugs & dosages, Assessment, Return visit Subjective - Answer -Pt complaint Objective - Answer -Provider observation Assessment - Answer -Medical Dx Plan - Answer -Treatment You are performing an audit of e/m services for a FP office. In the encounter you read the ph...

©BRAINBARTER 2024/2025 CPMA Exam - Chapter 5: Corrective action Plans. Exam Questions With Verified 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, - answerit 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 co...

CPMA Practice Exam | Questions and Correct Answers | Latest Update 2024/2025 | 100% PASS Which of the following forms gives permission for the payer to send payment to the provider? - Answer -Assignment of Benefits Which is a TRUE statement for radiology orders in a medical record? - Answer -It is not necessary for the orders to be maintained in the patient's file, but they must be maintained by the facility

Chapter 5 CPMA Exam: Contract-based Commercial Insurance Plans | Questions and Correct Answers | Latest Update 2024/2025 | 100% PASS Most common commercial insurance plans are - Answer -contract based That is, benefits arise primarily under a contract between the insurance company and the subscriber/patient Where the healthcare provider is in network, - Answer -the provider agrees to abide by certain rules in a separate contract.. The auditor must review the contract to determine the...

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 ...