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CPMA chapter 4, Exam Questions and answers, 100% Accurate, rated A+

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CPMA chapter 4, Exam Questions and answers, 100% Accurate, rated A+ An auditor is asked to perform a baseline audit of a multi-provider practice. How many records should be selected for the baseline audit? - -10-15 records per provider An external auditor has been asked to review the E/M vi...

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  • February 16, 2023
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CPMA chapter 4, Exam Questions and
answers, 100% Accurate, rated A+

An auditor is asked to perform a baseline audit of a multi-provider practice. How many records should
be selected for the baseline audit? - ✔✔-10-15 records per provider



An external auditor has been asked to review the E/M visits for a practice. For this focused audit, how
should the auditor determine which E/m levels to audit? - ✔✔-Run a utilization report comparing the
providers E/M levels to other providers of the same specialty in the same area



An auditor determined that all of Dr Adams' level four and five E/M services from January through May
20xx will be audited. What type of audit would this be? - ✔✔-Focused audit, non-statistical



Which type of audit may cause a delay in claims submission? - ✔✔-Prospective audit



Which list best describes effective auditing tools? - ✔✔-Code books reflective of the year services were
delivered, electronic/manual audit tools that guide auditor through compliance issues, guidelines, and
documentation requirements.



Statistical sampling built around high frequency items is known as - ✔✔-Proportional sampling



Which statement is TRUE regarding NCCI edits? - ✔✔-A commercial payer may follow the NCCI edits but
also add their own bundling edits.

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