Cpma terms - Study guides, Class notes & Summaries

CPMA terms

CPMA terms with complete solution latest updated 2023/2024

CPMA terms, Exam sections Coverage, rated A+ Certificate of compliance agreement - -Require the provider to certify that it will continue to operate its existing compliance programs and to report to OIG for a lesser period of time (usually 3 years) Corporate integrity agreements - -A condition of not seeking exclusion from participation when an entity seeks to settle CIVIL health care fraud cases. Typically last 5 years. Circumstances that the OIG would consider relative to CIA: 1...

Chapter 5 CPMA Exam: Contract-based Commercial Insurance Plans Questions And Answers Is the provider offered a chance at implementing corrective action? How these questions are answered will significantly affect the audit result, in terms of whether an auditor can declare error or can simply declare potential risk. Where the provider is not contracted with a particular payer, consider the provider has no legal duty to conform his or her reporting or documentation to the mandates of th...

Chapter 5 CPMA Exam: Contract-based Commercial Insurance Plans. Exam Questions With Verified Answers. Most common commercial insurance plans are - answercontract based That is, benefits arise primarily under a contract between the insurance company and the subscriber/patient Where the healthcare provider is in network, - answerthe provider agrees to abide by certain rules in a separate contract.. The auditor must review the contract to determine the rules the provider is bound to follow ...

CMCA PRACTICE EXAM 136 Questions with Verified Answers 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 - CORRECT ANSWER D. All the above Report cop...

CMCA PRACTICE EXAM 136 Questions with Verified Answers 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 - CORRECT ANSWER D. All the above Report cop...

Chapter 5 CPMA Exam: Contract-based Commercial Insurance Plans Questions and Answers Most common commercial insurance plans are - Answer-contract based That is, benefits arise primarily under a contract between the insurance company and the subscriber/patient Where the healthcare provider is in network, - Answer-the provider agrees to abide by certain rules in a separate contract.. The auditor must review the contract to determine the rules the provider is bound to follow For commercial...

ICDVP EXAM /ILLINOIS DOMESTIC VIOLENCE PROFESSIONAL LATEST ACTUAL EXAM 300 QUESTIONS AND CORRECT DETAILED ANSWERS WITH EXPLANATIONS |AGRADE what is the definition of intimate partner violence? - ANSWER- any threatened or completed acts of physical, sexual, or psychological abuse committed by a spouse, ex-spouse, or current or former boyfriend or girlfriend What is the social construction theory of sociology? - ANSWER- Social construction is a perspective that holds that societal reactions ...

CPMA practice exam A, Terms Definitions, 100% Accurate, rated A+ SOAP - -Subjective, Objective, Assessment, Plan CHEDDAR - -Chief complaint, Hx, Exam, Details of problem/complaint, Drugs & dosages, Assessment, Return visit Subjective - -Pt complaint Objective - -Provider observation Assessment - -Medical Dx Plan - -Treatment You are performing an audit of e/m services for a FP office. In the encounter you read the physician ordered and reviewed a differential WBC. What ele...