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Exam (elaborations)

CPMA Chapter 6 Review Questions and Answers (100% Pass)

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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? T...

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  • October 18, 2024
  • 6
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • CPMA
  • CPMA
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1 | P a g e | © copyright 2024/2025 | Grade A+




CPMA Chapter 6 Review Questions
and Answers (100% Pass)
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




Master01 | September, 2024/2025 | Latest update

, 1 | P a g e | © copyright 2024/2025 | Grade A+

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?




Master01 | September, 2024/2025 | Latest update

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