CPMA Study Guide Correct Questions And Answers(Latest Update 2024)

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 kept? - ANSWER 5 years. At what point would a provider repay overpayments reported on a self-disclosure to the OIG? - ANSWER At the conclusion of the OIG inquiry. What is considered essential elements to allow for proper coding of an operative report? - ANSWER *the approach *type of anesthesia *location & severity of the wounds repaired. Who is NOT considered a covered entity under HIPAA? - ANSWER Health care consultant What entails the proper authentication of an entry in a medical record? - ANSWER Legible signature of the author and the date the entry is signed. What is the time limit mandated by CMS for adding a late entry into a medical record? - ANSWER There is not a time limit. When should an ABN be signed? - ANSWER Prior to performing a procedure that may be denied for lack of medical necessity to a Medicare beneficiary Under a Corporate Integrity Agreement how many charts must be audited to determine the financial error rate? - ANSWER 50 charts. When using LCD and CMS Program Guidance for a resource for an audit, what should the auditor keep in mind? - ANSWER Local carriers follow LCDs, LMRPs, and CMS Guidance Programs but QICs, ALJs, and MACs are not bound by them.