Cpma exam chapter 5 - Study guides, Revision notes & Summaries

CPMA EXAM chapter 5 Exam Questions And Answers What is considered good parameters for a baseline audit? Random audit of 10-15 records per practitioner along with office and surgical procedures selected procedures selected randomly. Which resource is valuable when performing a surgical audit? NCCI Manual assists the auditor in determining bundling issues with CPT code services provided. What is non-statistical sampling? Sample based on unique services that were defined in the objective...

Which statement is true regarding an audit performed on charts for Medicare beneficiaries? - Correct ️️ National CMS policies and local MAC policies should be utilized when performing Medicare audits. In addition to CMS it is necessary to know your Medicare Administrative Contractor that supports the location where services are rendered for example 4x4 rule. How often should an internal audit be conducted minimally? - Correct ️️ Annually (more often if problem is seen)

CPMA Exam Chapter 5: SelfDisclosure Audits | Questions and Correct Answers | Latest Update 2024/2025 | 100% PASS The OIG Self-Disclosure Protocol (SDP) provides the - Answer -ability to self-disclose potential instances of fraud involving federal healthcare programs for which liability arises under the OIG's civil money penalty authorities The SDP (Self-Disclosure Protocol) is not for reporting of - Answer - potential or actual Stark (self-referral) violations; It is not a means to ...

CPMA Exam Chapter 5: Communication Under Corporate integrity Agreement. Exam Questions With Verified Answers. In some circumstances, as part of a settlement agreement involving repayment of money to the government, the government will impose - answera Corporate Integrity Agreement (CIA) A CIA (Corporate Integrity Agreement) is - answeran imposed compliance program, usually in force for five (5) years. During the time (usually 5 years) of an imposed Corporate Integrity Agreement, the entit...

Which statement is true regarding an audit performed on charts for Medicare beneficiaries? - ANSWER National CMS policies and local MAC policies should be utilized when performing Medicare audits. In addition to CMS it is necessary to know your Medicare Administrative Contractor that supports the location where services are rendered for example 4x4 rule. How often should an internal audit be conducted minimally? - ANSWER Annually (more often if problem is seen) What is a utilization review...

CPMA Certification,CPMA, CPMA Exam Chapter 5: Self-Disclosure Audits Question and answers correctly solved 2023 Informed consent for treatment includes - correct answer a. Patient's diagnosis if known b. Nature and purpose of treatment c. Risks and benefits of treatment d. Alternative treatment options and their benefits and e. e. Risks and benefits of not receiving any treatment The FCA allows for reduced penalties (mitigation) if the person self discloses and: - correct answer ...

CPMA EXAM chapter 5 Questions and Answers

CPMA EXAM chapter 5

CPMA Exam Chapter 5: Communication Under Corporate integrity Agreement | Questions and Correct Answers | Latest Update 2024/2025 | 100% PASS In some circumstances, as part of a settlement agreement involving repayment of money to the government, the government will impose - Answer -a Corporate Integrity Agreement (CIA) A CIA (Corporate Integrity Agreement) is - Answer -an imposed compliance program, usually in force for five (5) years. During the time (usually 5 years) of an imposed C...

CPMA EXAM chapter 5 Questions and Answers 100% Solved Which statement is true regarding an audit performed on charts for Medicare beneficiaries?National CMS policies and local MAC policies should be utilized when performing Medicare audits. In addition to CMS it is necessary to know your Medicare Administrative Contractor that supports the location where services are rendered for example 4x4 rule. How often should an internal audit be conducted minimally?Annually (more often if probl...