Exam (elaborations)

CPMA Top Exam Questions and answers, 100% Accurate, Approved.

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Uploaded on February 16, 2023
Number of pages 47
Written in 2022/2023
Type Exam (elaborations)
Contains Questions & answers

cpma top exam questions and answers
100 accurate
approved the joint commission jc requires the factors that affect learning must be assessed for a hospital or hospital owned physician practic

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CPMA Top Exam Questions and
answers, 100% Accurate, Approved.

The Joint Commission (JC) requires the Factors that Affect Learning must be assessed for a hospital or
hospital owned physician practice as well as other health care facilities. When assessing this element
what does this include?

A. The patient's ability to read, method of learning and understanding.

B. Any language or physical disabilities.

C. Cultural beliefs.

D. All the above - ✔✔-D. All the above

Report copies and printouts, films, scans, and other radio logic service image records must be retained
for how long according to Federal Regulations?

A. 10 years

B. 7 years

C. 5 years

D. 3 years - ✔✔-C. 5 years

At which point should a provider repay over payments reported by self-disclosure to the office of
Inspector General?

A. Make the payment to your carrier immediately.

B. Make the payment at the conclusion of the OIG injury.

,C. Make the payment to the carrier prior to the self disclosure.

D. Make the payment to the OIG with a self disclosure report. - ✔✔-B. Make the payment at the
conclusion of the OIG injury

Which of the following may be considered essential element (s) of an operative report and will allow for
accurate coding?

A. The approach

B. The type of anesthesia required

C. The location and severity of wounds repaired

D. All of the above - ✔✔-D. All of the above

Which of the following is NOT a covered entity under HIPPA?

A. Physician

B. Health Plan

C. Health Care Consultant

D. Physician Assistant - ✔✔-C. Health Care Consultant

When referring to the authentication of a medical record entry, what does this entail?

A. Legible signature of author and date signed

B. A physician's order for ancillary services

C. An original document filed in the record

D. The patient's personal information - ✔✔-A. Legible signature of author and date signed

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

,A. One Week

B. One Month

C. One Year

D. No time limit - ✔✔-D. No time limit

When should a ABN be signed?

A. Prior to performing a statutorily excluded procedure for a Medicare beneficiary.

B. Prior to performing a procedure that may be denied due to medical necessity for a Medicare
beneficiary.

C. Prior to submitting a claim to Medicaid for a non- service.

D. After performing a procedure and finding it is denied. - ✔✔-B. Prior to performing a procedure that
may be denied due to medical necessity for a Medicare beneficiary.

Under a Corporate Integrity Agreement (CIA), how many claims must be randomly selected to review to
determine the financial error rate?

A. 15

B. 50

C. 75

D. 100 - ✔✔-B. 50

When using LCDs and CMS program Guidance as a resource for an audit, what should the auditor keep
in mind?

A. QICs are bound by NCDs, LMRPs, and CMS Program guidance, but ALJs and MACs are not.

, B. Local carriers and QICs are bound by LCDs and LMRPs

C. Local carries follow LCDs, LMRPs, and CMS program guidance, but QICs, ALJs, and MACs are not
bound by them.

D. Local Carriers, QICs, ALJs, and MACs are all bound by NCDs and CMS program guidance. - ✔✔-C. Local
carries follow LCDs, LMRPs, and CMS program guidance, but QICs, ALJs, and MACs are not bound by
them.

When reporting the claims review findings under a CIA audit, the Independent Review Organization
(IRO) must provide:

A. A detailed analysis listing the patient files reviewed and findings and previous audit disclosures for all
services

B. A detailed report with a narrative explanation of finding and supporting rationale approved by the
providers attorney.

C. A detailed report with an analysis and narrative explanation with findings and supporting rationale
regarding the claim review, including the results of the discovery or full sample.

D. A list of data reviewed and findings in a narrative form - ✔✔-C. A detailed report with an analysis and
narrative explanation with findings and supporting rationale regarding the claim review, including the
results of the discovery or full sample.

Which statement is most accurate regarding NCCI?

A. NCCI are national coding guidelines and must be followed regardless of the insurance carrier.

B. You need to check individual carriers to see if they follow NCCI or if they have their own set of
bundling edits.

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Exam (elaborations)

CPMA Top Exam Questions and answers, 100% Accurate, Approved.

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