CPMA Practice test Questions And Answers
What is the minimum signature assignment(s) of the author of an entry in the medical record?
. The first initial, last name and credentials
Based on Joint Commission accreditation guidance for personal data, what two elements must be
evident in the medical record: Personal biographical data and consent for treatment or
authorization for treatment form
As an auditor, who of the following would NOT be expected to submit operative notes?
Surgical assistants
What is the appropriate way to dispose of PHI that is no longer needed? Discard it in a
locked shredding receptacle
When must ABNs be signed? Far enough in advance that the beneficiary or representative
has time to consider the options and make an informed decision
SOAP and CHEDDAR are two formats of medical record documentation. Which section of each
format would you find the patient's history? S in SOAP and H in CHEDDAR
, CPMA Practice test Questions And Answers
Patients can request copies of disclosure of PHI under HIPAA: For a six (6) year period of
time
In preparation for a high volume of patients coming in for chemotherapy, the nurse documents
the chemotherapy treatments in advance. The purpose is to speed up the treatment process so
patients do not have to wait long. Would this cause concern in an audit? Yes, chart entry
should not be made in advance of the treatment.
A provider knows that an evaluation and management service they provide on the same date as a
major procedure will be bundled, so he submits the claim for the E/M with a different date of
service. This is an example of: Fraud
For the civil monetary penalties, for false or fraudulent claims, up to how many times of the
amount damages are for each false claim submitted? Three times the amount improperly
claimed
Which type of case is not prosecuted under the federal false claims act? Physician tax
issues
, CPMA Practice test Questions And Answers
A full sample must be reviewed and a systems review must be conducted when the net financial
error rate of the sampling equals or exceeds what percent? 5%
Which of the following would NOT be expected to fall under the responsibility or oversight of
an organization's compliance committee? Recommending a specific merit increase in pay
for employee's adherence to the code of conduct
Beginning November 2019, the OIG stated Medicare payment to physicians for Stelara have
increased significantly and will study the payments to determine if there is evidence of improper
billing by the physicians. Where is information regarding potential reviews found? OIG
Work Plan
An infectious disease provider has been notified by the MAC (Medicare Administrative
Contractor) in his region that the data indicates he is billing level 99244 more frequent than other
providers in the same specialty and geographic region. The provider requests you audit a sample
of his claims that were coded as 99244 to determine if he is coding appropriately. What
supporting references will you need to conduct the audit? CPT® Evaluation and
Management (E/M) Office or Other Outpatient Code and Guideline Changes,1995, and 1997
CMS Documentation Guidelines based on the date of service
What is the minimum signature assignment(s) of the author of an entry in the medical record?
. The first initial, last name and credentials
Based on Joint Commission accreditation guidance for personal data, what two elements must be
evident in the medical record: Personal biographical data and consent for treatment or
authorization for treatment form
As an auditor, who of the following would NOT be expected to submit operative notes?
Surgical assistants
What is the appropriate way to dispose of PHI that is no longer needed? Discard it in a
locked shredding receptacle
When must ABNs be signed? Far enough in advance that the beneficiary or representative
has time to consider the options and make an informed decision
SOAP and CHEDDAR are two formats of medical record documentation. Which section of each
format would you find the patient's history? S in SOAP and H in CHEDDAR
, CPMA Practice test Questions And Answers
Patients can request copies of disclosure of PHI under HIPAA: For a six (6) year period of
time
In preparation for a high volume of patients coming in for chemotherapy, the nurse documents
the chemotherapy treatments in advance. The purpose is to speed up the treatment process so
patients do not have to wait long. Would this cause concern in an audit? Yes, chart entry
should not be made in advance of the treatment.
A provider knows that an evaluation and management service they provide on the same date as a
major procedure will be bundled, so he submits the claim for the E/M with a different date of
service. This is an example of: Fraud
For the civil monetary penalties, for false or fraudulent claims, up to how many times of the
amount damages are for each false claim submitted? Three times the amount improperly
claimed
Which type of case is not prosecuted under the federal false claims act? Physician tax
issues
, CPMA Practice test Questions And Answers
A full sample must be reviewed and a systems review must be conducted when the net financial
error rate of the sampling equals or exceeds what percent? 5%
Which of the following would NOT be expected to fall under the responsibility or oversight of
an organization's compliance committee? Recommending a specific merit increase in pay
for employee's adherence to the code of conduct
Beginning November 2019, the OIG stated Medicare payment to physicians for Stelara have
increased significantly and will study the payments to determine if there is evidence of improper
billing by the physicians. Where is information regarding potential reviews found? OIG
Work Plan
An infectious disease provider has been notified by the MAC (Medicare Administrative
Contractor) in his region that the data indicates he is billing level 99244 more frequent than other
providers in the same specialty and geographic region. The provider requests you audit a sample
of his claims that were coded as 99244 to determine if he is coding appropriately. What
supporting references will you need to conduct the audit? CPT® Evaluation and
Management (E/M) Office or Other Outpatient Code and Guideline Changes,1995, and 1997
CMS Documentation Guidelines based on the date of service
