CPMA Chapter 6 Review Questions and Answers | 100% Pass
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Course
CPMA
Institution
CPMA
CPMA Chapter 6 Review Questions and
Answers | 100% Pass
What is the reason audit findings should be discussed with the provider audited? -
Answer-To provide a risk analysis, identify problem areas, and recommend
corrective action with supporting documentation
What type of information can be fo...
CPMA Chapter 6 Review Questions and
Answers | 100% Pass
What is the reason audit findings should be discussed with the provider audited? -
Answer✔✔-To provide a risk analysis, identify problem areas, and recommend
corrective action with supporting documentation
What type of information can be found In The providers contract with the insurance
carrier? - Answer✔✔-The providers obligation to follow the insurance company's
medical policies
What type of insurance plans may require an auditor to identify non-standard coding
and reimbursement rules? - Answer✔✔-Auto and workers compensation
When there is a conflict between CMS Internet Only Manuel's and federal regulations,
which provisions take precedence? - Answer✔✔-Regulatory provisions
Under the reverse false claims provisions of the False Claims Act, what must be
understood by an auditor? - Answer✔✔-Declaring an audit error without binding
standards inappropriately exposes the audited provider to FCA liability
In an audit report, what should be included in the background component? -
Answer✔✔-Identify of the entity, provider being audited, audit objectives, type of
audit, scope of audit, and identity and qualifications of the auditor should be detailed
Which audit example below represents a prospective audit? - Answer✔✔-An audit to
evaluate if a provider's documentation supports ICD 10 CM coding
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