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Exam (elaborations)

Cpma Study Questions And Answers

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Cpma Study Questions And Answers What is the civil penalty Not less than 5000 and not more than 10,000 per claim x3 times the amount of government damages Federal False Claims Act Having knowledge that claims is fake. .1 knowing and knowingly that a person must act in deliberate ignorance of ...

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  • October 19, 2024
  • 12
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Cpma
  • Cpma
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UpperClass
Cpma Study Questions And Answers

What is the civil penalty Not less than 5000 and not more than 10,000 per claim x3 times

the amount of government damages




Federal False Claims Act Having knowledge that claims is fake.


.1 knowing and knowingly that a person must act in deliberate ignorance of the truth or falsely of

the relevant information or act in a reckless manner of the truth or falsity of the Information




Qui Tam whistleblower




what percentage is offered for a whistleblower/qui tam as an award from what is recovered by

the government? between 15% and 25%




fraud Knowingly making false statements or misrepresenting facts to obtain an

undeserved benefit or payment from federal healthcare program




Discovery sample CIA - 50 samples units randomly selected *determines the net financial

error rate .2 if error rate exceeds 5% a full sample must be reviewed

, Cpma Study Questions And Answers
HHS OIG 3 core publications 1.work plan


2.semiannual report to congress

3. compendium unimplemented recommendation




non-compliant conduct must be documented in compliance files & should include 1. date

of incident

2.name of the reporting party

3.name of the person responsible for taking action

4.the follow up the action taken




What is an auditor Reviews healthcare providers policies add procedures to ensure

compliance with applicable requirements




cms uses what avenues to deliver Information 1.webcasts


2. transmitting

3.manuals

4.the medicare learning network

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