100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
CPMA Chapter 6 Review, Questions and answers, 100% Accurate, graded A+ $8.49   Add to cart

Exam (elaborations)

CPMA Chapter 6 Review, Questions and answers, 100% Accurate, graded A+

 7 views  0 purchase
  • Course
  • Institution

CPMA Chapter 6 Review, Questions and answers, 100% Accurate, graded A+ What is the reason audit findings should be discussed with the provider audited? - -To provide a risk analysis, identify problem areas, and recommend corrective action with supporting documentation What type of informati...

[Show more]

Preview 1 out of 3  pages

  • February 16, 2023
  • 3
  • 2022/2023
  • Exam (elaborations)
  • Questions & answers
avatar-seller
CPMA Chapter 6 Review, Questions and
answers, 100% Accurate, graded A+

What is the reason audit findings should be discussed with the provider audited? - ✔✔-To provide a risk
analysis, identify problem areas, and recommend corrective action with supporting documentation



What type of information can be found In The providers contract with the insurance carrier? - ✔✔-The
providers obligation to follow the insurance company's medical policies



What type of insurance plans may require an auditor to identify non-standard coding and
reimbursement rules? - ✔✔-Auto and workers compensation



When there is a conflict between CMS Internet Only Manuel's and federal regulations, which provisions
take precedence? - ✔✔-Regulatory provisions



Under the reverse false claims provisions of the False Claims Act, what must be understood by an
auditor? - ✔✔-Declaring an audit error without binding standards inappropriately exposes the audited
provider to FCA liability



In an audit report, what should be included in the background component? - ✔✔-Identify of the entity,
provider being audited, audit objectives, type of audit, scope of audit, and identity and qualifications of
the auditor should be detailed



Which audit example below represents a prospective audit? - ✔✔-An audit to evaluate if a provider's
documentation supports ICD 10 CM coding



What is a rebuttal audit? - ✔✔-An audit in response to a payer audit , and the auditor is tasked with
validating or refuting the conclusion of the payer



In an audit report, which section would identify the specific binding standards or criteria that were
applied during the course of the audit? - ✔✔-Standard of review

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller QuickPass. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $8.49. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

80461 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$8.49
  • (0)
  Add to cart