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CPMA Study Guide Exam Questions And Answers
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CPMA Study Guide Exam Questions And Answers What is considered essential elements to allow for proper coding of an operative report? *the approach *type of anesthesia *location & severity of the wounds repaired. Who is NOT considered a covered entity under HIPAA? Health care consultant Wh...

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  • October 19, 2024
  • 5
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • cpma study guide exam questions and answers

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  • Cpma
  • Cpma

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CPMA Study Guide Exam Questions And
Answers

What is considered essential elements to allow for proper coding of an operative report?

*the approach


*type of anesthesia

*location & severity of the wounds repaired.




Who is NOT considered a covered entity under HIPAA? Health care consultant




What entails the proper authentication of an entry in a medical record? Legible signature

of the author and the date the entry is signed.




What is the time limit mandated by CMS for adding a late entry into a medical record?

There is not a time limit.




When should an ABN be signed? Prior to performing a procedure that may be denied for

lack of medical necessity to a Medicare beneficiary

, CPMA Study Guide Exam Questions And
Answers
Under a Corporate Integrity Agreement how many charts must be audited to determine the

financial error rate? 50 charts.




When using LCD and CMS Program Guidance for a resource for an audit, what should the

auditor keep in mind? Local carriers follow LCDs, LMRPs, and CMS Guidance Programs

but QICs, ALJs, and MACs are not bound by them.




When reporting claim review findings under a Corporate Integretity Agreement, and Independent

Review organization must provide? A detailed report with an analysis & a narrative

explanation with findings & supporting rationale regarding the claim review including the results

of the discovery or full sample.




Accurate statement about NCCI? You need to check individual carriers to see if they have

their own bundling edits or follow NCCI guidelines.




A provider asks you to perform an audit of claims that have been denied payment with XYZ

insurance. Since contracting with XYZ all E/M codes filed with EKG interpretation have been

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