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 Exam Questions and answers, 100% Accurate, graded A+ CA$13.70   Add to cart
Quickly navigate to
Preview
  2.  
  3. CPMA
  4.  
  5. CPMA
  6.  
  7. CPMA

Exam (elaborations)

CPMA Exam Questions and answers, 100% Accurate, graded A+
 7 views  0 purchase

CPMA Exam Questions and answers, 100% Accurate, graded A+ Fraud or Abuse: Billing for a service at a higher level than provided - -Fraud What is a Qua Tam relator? - -A person who brings a civil action for a violation for him/herself & for US Govt What is the difference between Stark Law...

[Show more]

Preview 2 out of 8  pages

Document information

  • February 13, 2023
  • 8
  • 2022/2023
  • Exam (elaborations)
  • Questions & answers

Subjects

  • cpma exam questions and answers
  • 100 accurate
  • graded a fraud or abuse billing for a service at a higher level than provided fraud what is a qua tam relator a person who brings a civil ac

Written for

All documents for this subject (673)

Seller

avatar-seller
QuickPass

Reviews received

Content preview

CPMA Exam Questions and answers,
100% Accurate, graded A+

Fraud or Abuse: Billing for a service at a higher level than provided - ✔✔-Fraud



What is a Qua Tam relator? - ✔✔-A person who brings a civil action for a violation for him/herself & for
US Govt



What is the difference between Stark Law & Antikickback law? - ✔✔-No INTENT must be provien for
Stark, Antikickpack requires proof of intent



When banned for Fed/State healthcare program, what is the term of exclusion (in Years)? - ✔✔-5 years



How often are the OIG workplans updated? - ✔✔-Monthly online



The FCA allows for reduced penalties if the person committing the violation does what? - ✔✔-Self
discloses



Fraud or Abuse? Misrepresenting a DX to justify payment? - ✔✔-Fraud



Fraud or Abus? Improper billing practices - ✔✔-Abuse



Fraud or Abuse? Altering claim forms and/or receipts to receive a higher payment amount. - ✔✔-Fraud



Fraud or Abuse? Billing Medicare patients a higher fee schedule compared to non-Medicare patients. -
✔✔-Abuse



What does FCA stand for? - ✔✔-Federal False Claims Act

, How else is the Start Law referred? - ✔✔-Physician self-referral law



How many federal OIGs are there? - ✔✔-73



What is the CIA? - ✔✔-Corporate Integrity Agreements lasting typically 5 years as a guideline to help
providers that have been excluded.



When CIAs require claim reviews what is considered the DISCOVERY sample? - ✔✔-50 claims randomly
selected (95% accuracy required)



What are the fundamental elements for an effective compliance program? - ✔✔-1. Written policies 2.
Compliance officer/committee 3. Training/education 4. Communication 5.Enforcement of standars &
disciplinary actions 6. Internal audtis 7. respond & develope corrective action plan



In a Corporate Integrity Agreement (CIA) does the OIG specify the IRO to be used? - ✔✔-NO, but the OIG
does retain the right to notify the provider if they must select a new IRO



When non-compliance is identified, what does the OIG suggest? - ✔✔-Take disciplinary action &
document the date of the incident, the name of the reporting party, name of the person responsible for
taking action and the f/u action taken.



The OIG lists potential risks for individual/small group practices compliance plans. Name a potential risk
area - ✔✔-UNBUNDLING



What are the three key components of E&M? - ✔✔-HX, Exam & MDM



If there is an issue of GAIT determined in the patient's exam, how could that be counted in the EXAM
depending on the patient's condition? - ✔✔-Neurology or M/S



What are the CCI indicators - ✔✔-0 NOT ALLOWED 1 Allowed with supporting documentation 9 DOES
NOT Apply

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 QuickPass. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for CA$13.70. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

64438 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
CA$13.70
  • (0)
  Add to cart