CPMA EXAM PREP TESTED QUESTIONS WITH REVISED ANSWERS
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Course
CPMA
Institution
CPMA
CPMA EXAM PREP TESTED
QUESTIONS WITH REVISED
ANSWERS
When providing a prescription for a patient, the education of
the patient (including side effects and supporting
documentation) in the medical record that the information was
reviewed is based on which of the following standards?
A....
CPMA EXAM PREP TESTED
QUESTIONS WITH REVISED
ANSWERS
When providing a prescription for a patient, the education of
the patient (including side effects and supporting
documentation) in the medical record that the information was
reviewed is based on which of the following standards?
A. Privacy standards
B. OSHA standards
C. Joint Commission standards
D. PHI standards - ANSWER C. Joint Commission standards
A deliberate misrepresentation of facts to gain unauthorized
benefits is the definition of:
A. Abuse
B. Non-disclosure
C. Falsification
D. Fraud - ANSWER D. Fraud
,What is an action resulting in unnecessary costs, whether
directly or indirectly, to a federal healthcare plan considered?
A. Fraud
B. Abuse
C. Upcoding
D. Cost sharing - ANSWER B. Abuse
When responding to a subpoena for medical records, which of
the following documents would likely NOT be required to be
copied and submitted:
A. Patient problem list and medication log
B. Signed consent to treatment forms
C. Signed authorization for release of information
D. E-mails exchanged between patient and provider - ANSWER
C. Signed authorization for release of information
Dr. Black receives a demand letter from the OIG stating the
sanctions are sought under CMP for claims submitted by Dr.
Black. He asks you, his auditor, to review the letter and the
claims that are under scrutiny. It is determined that Dr. Black
should not agree with the demand letter. You recommend that
Dr. Black:
,A. Request a hearing before a federal court.
B. Request a hearing before an HHS administrative court judge.
C. Request a hearing with state board of appeals.
D. Request a hearing with the hospital's board of directors. -
ANSWER B. Request a hearing before an HHS administrative
court judge.
An effective compliance plan attributes to which of the
following:
A. Better informed employees
B. Reduced risk of criminal sanctions, or civil penalties
C. Effective operations and increased compliance with both
federal and state laws
D. All of the above - ANSWER D. All of the above
A physician asks you, her auditor, what the specific difference
is between 1995 and 1997 versions of documentation
guidelines. Your response would be:
A. Risk of significant complications, morbidity and/or mortality
B. Past, Family and Social History
C. Exam elements
D. Medical Decision Making - ANSWER C. Exam elements
, Which of the following code combinations is an example of
unbundling according to CPT®?
A. 25515, 20690
B. 11601, 12031
C. 92025, 65730
D. 49560, 49568 - ANSWER C. 92025, 65730
Which scenario best represents the correct use of modifier 26?
A. An ECG is performed in a physician's office and interpreted
by the physician. Modifier 26 is appended to the CPT® ECG code
93000.
B. Patient had an open inguinal hernia repair two weeks ago.
He is in the doctor's office because the surgical wound is
bleeding. The physician cleans the wound and applies wound
adhesive to reclose a small opening. Modifier 26 is appended to
the E/M code.
C. A chest X-ray taken in the ED. The ED physician interprets the
X-ray and bills the CPT® radiology code with modifier 26. The
ED physician is not employed by the hospital.
D. A patient with diabetic ketoacidosis has a blood test to check
her potassium level. After the initial potassium value is
determined, a subsequent blood test was ordered and
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