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CPMA 2024 – Questions With Correct Answers CA$12.50   Add to cart

Exam (elaborations)

CPMA 2024 – Questions With Correct Answers

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CPMA 2024 – Questions With Correct Answers

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  • March 2, 2024
  • 3
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers
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CPMA 2024 – Questions With Correct Answers

Which is an example of fraud?
A. Misusing codes on a claim
B. Misrepresenting the dx to justify payment
C. Improper billing practices
D. Billing for services not medically necessary Correct Ans - B.
Misrepresenting the dx to justify payment

CMS defines abuse as Correct Ans - An action that results in
unnecessary costs to a federal healthcare program, either directly or
indirectly

CMS defines fraud as Correct Ans - making false statements or
misrepresenting facts to obtain an undeserved benefit or payment from a
federal healthcare program.

Which is an example of fraud?
A. Misusing codes on a claim
B. Improper billing practices
C. Billing for services not medically necessary
D. Billing for services and/or supplies that you know were not furnished or
provided Correct Ans - D. Billing for services and/or supplies that
you know were not furnished or provided

Which is an example of fraud?
A. Misusing codes on a claim
B. Improper billing practices
C. Billing for services at a higher level than provided or necessary
D. Billing for services not medically necessary Correct Ans - C.
Billing for services at a higher level than provided or necessary

Which is an example of fraud?
A. Altering claim forms &/or receipts to receive a higher pmt amt
B. Improper billing practices
C. Failure to maintain adequate medical or financial records
D. Billing for services not medically necessary Correct Ans - A.
Altering claim forms &/or receipts to receive a higher pmt amt

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