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CPMA EXAM chapter 5 Exam Questions And Answers What is considered good parameters for a baseline audit? Random audit of 10-15 records per practitioner along with office and surgical procedures selected procedures selected randomly. Which resource is valuable when performing a surgical audit? ...

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  • October 19, 2024
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  • 2024/2025
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  • cpma exam chapter 5 exam questions and answers

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CPMA EXAM chapter 5 Exam Questions
And Answers

What is considered good parameters for a baseline audit? Random audit of 10-15 records

per practitioner along with office and surgical procedures selected procedures selected randomly.




Which resource is valuable when performing a surgical audit? NCCI Manual assists the

auditor in determining bundling issues with CPT code services provided.




What is non-statistical sampling? Sample based on unique services that were defined in

the objective and scope and is used in focused audits. It may be considered judmental.




Which type of audit often realizes more objectivity than with an employed auditor

External audit- the advantage is the independence allows for a more objective review than

the one who is employed by the practice.




When performing a government audit, the NCCI edits manual can serve what purpose?

Support the use of modifiers and can point out bundling errors when performing the audit.

, CPMA EXAM chapter 5 Exam Questions
And Answers
An audit performed prior to claims submission is referred to as what type of audit?

Prospective audit




As an auditor, you work for a CPA firm who has been asked to perform an audit of a new

practice to determine risk areas for their documentation. There have not been any prior audits at

this practice. What type of audit should be performed? Random audit




What is an example of how office policies are helpful in an audit? Office policies may

specify what to bill service and problem visit are provided at the same time.




Which list represents the most comprehensive list of items reviewed in a retrospective audit?

Medical record documentation, encounter form, explanation of benefits or remittance

advice, and payer policies.




A practice contacts an external auditor and explains the practice is billing incident-to services

and is not sure they are documenting appropriately, or following the guidelines. What services

would the external audit focus on during an audit based on this information? NPP services

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