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Exam (elaborations)

CPMA Chapter 5 Review Question and answers, 100% Accurate, rated A+

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CPMA Chapter 5 Review Question and answers, 100% Accurate, rated A+ An audit performed after the claims have been submitted in referred to as what type of audit? - -Retrospective audit What would be considered good parameters for a baseline audit? - -Random audit of 10-15 records per practi...

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  • February 16, 2023
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CPMA Chapter 5 Review Question and
answers, 100% Accurate, rated A+

An audit performed after the claims have been submitted in referred to as what type of audit? - ✔✔-
Retrospective audit



What would be considered good parameters for a baseline audit? - ✔✔-Random audit of 10-15 records
per practitioner



What is/are the advantage of a peer review audit? - ✔✔-Provides feedback among providers

clinical decision-making can be addressed

coding accuracy



Which type of audit often realizes more objectivity than with an employed auditor? - ✔✔-External audit



How often should an internal audit be conducted minimally? - ✔✔-Annually



What tool might be helpful in defining which service to audit for a focused review - ✔✔-Utilization
reports



When performing a government audit, the NCCI edits manual can serve what purpose? - ✔✔-Support
the use of modifiers



What helpful information might be found on a local MAC's website regarding E/M services? - ✔✔-Local
MAC provide clarification of National policies such as the definition of what constitutes a detailed
history or exam versus an expanded problem focused



What type of error might be found by reviewing the encounter for and claim form? - ✔✔-Keying errors
occurring during the data entry process

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