CPMA Exam Questions and Answers |
100% Pass
B. If documentation supports the service, have the staff contact the carrier to reprocess
the claims. Code 33010 was valid for the date of service billed.
Rationale: The effective dates of codes are date of service driven. New CPT® codes
become effe...
If the subject receiving a demand letter from the OIG disagrees, he/she can request a
hearing before an administrative law judge (ALJ) in Health and Human Services (HHS).
- Answer✔✔-What rights does a provider have if he/she disagrees with a demand
letter sent by the OIG?
a. The provider can choose to self-disclose once a demand letter has been received.
b. The provider can send in supporting documentation for the claims to the OIG for
review by certified mail.
c. The provider can only respond to the demand letter with payment.
d. The provider can request a hearing before an ALJ in the HHS.
d. The 1997 E/M Documentation Guidelines are more detailed using bullets and
shading to determine levels of exams.
The 1995 E/M Documentation Guidelines are vague in the description of the exam
whereas the 1997 E/M Documentation Guidelines are more detailed using bullets and
shading to determine levels of exams. - Answer✔✔-Which statement is TRUE
regarding 1995 and 1997 E/M Documentation Guidelines?
a. The 1995 E/M Documentation Guidelines are more detailed using bullets and
shading to determine levels of exams.
b. The 1995 E/M Documentation Guidelines are never beneficial for specialists.
c. The 1997 E/M Documentation Guidelines are never beneficial for general
practitioners.
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