Cpma study 2024 - Study guides, Class notes & Summaries

CPMA Exam Study Guide with Complete Solutions 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 ...

CPMA Study Guide with Complete Solutions The Joint Commission requires that Factors that Affect Learning must be ascertained for a hospital or hospital owned physician practice when assessing this element what does this include? - Answer-*The patients ability to read, method learning, & understanding. *Any language or physical disabilities *Cultural beliefs. According to Federal regulations how long must report copies and printouts of films, scans, & other radiological image services be k...

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 ...