100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
CPMA Questions And Answers $10.99   Add to cart
Quickly navigate to
Preview
  2.  
  3. Cpma
  4.  
  5. Cpma

Exam (elaborations)

CPMA Questions And Answers
 1 view  0 purchase
  • Course
  • Cpma
  • Institution
  • Cpma

CPMA Questions And Answers What action would be considered fraud rather than abuse? A provider requiring the coding staff to intentionally code E/M services one level higher than documented. The OIG Work Plan is divided into seven elements. Which option is a part of the OIG Work Plan most app...

[Show more]

Preview 2 out of 6  pages

Document information

  • October 19, 2024
  • 6
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

  • cpma questions and answers

Written for

  • Cpma
  • Cpma

Seller

avatar-seller
UpperClass

Reviews received

Content preview

CPMA Questions And Answers

What action would be considered fraud rather than abuse? A provider requiring the coding

staff to intentionally code E/M services one level higher than documented.




The OIG Work Plan is divided into seven elements. Which option is a part of the OIG Work Plan

most applicable to physician services? Medicare Part A and Part B




A provider consistently charges a higher level of E/M service than is documented to help cover

the cost of his declining practice. Would this be fraud or abuse, and why? Fraud; the

provider intentionally over-coded to gain financially. The different between fraud and abuse is

intent




Based on the compliance program guidance documents by the OIG, what should be documented

when non-compliant conduct is found? Any finding of non-compliant conduct must be

documented in the compliance files and should include: date of incident, name of the reporting

party, name of the person responsible for taking action, the follow-up action taken




The OIG lists potential risk areas for individual and small physician groups in the compliance

plan guidance. Which option below is listed as a risk area? Unbundling; The OIG

, CPMA Questions And Answers
Compliance Guidance for Individual and Small Group Physician Practices lists unbundling as a

potential risk area among others




What is another name for the Federal False Claims Act (FCA)? Lincoln Law




Which statement is TRUE regarding 1995 and 1997 E/M Documentation Guidelines? The

1997 E/M Documentation Guidelines are more detailed using bullets and shading to determine

levels of exams.




What rights does a provider have if he/she disagrees with a demand letter sent by the OIG?

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).




Which one of the following options is NOT a requirement for financial penalties to be mitigated

in a federal False Claims Act case? The FCA allows for reduced penalties (mitigation) if

the person committing the violation self-discloses. §3729 a.2 states that the court may assess not

less than two times the amount of damages (as opposed to three times), which the government

sustains because of the act of that person, if:(A)the person responsible furnishes officials of the

United States responsible for investigating false claims violations with all information known to

such person about the violation within 30 days after the date on which the defendant first

obtained the information;(B) such person fully cooperates with the investigation of such

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 UpperClass. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $10.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

83249 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
$10.99
  • (0)
  Add to cart