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CPMA practice exam A Questions And Answers
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CPMA practice exam A Questions And Answers 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 elements would you expect to see in the medical records? Patient ID, assignment of benefits, pt's medi...

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  • October 19, 2024
  • 5
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • cpma practice exam a questions and answers

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  • Cpma
  • Cpma

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CPMA practice exam A Questions And
Answers

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 elements would you expect to see in

the medical records? Patient ID, assignment of benefits, pt's medical hx, immunizations,

physical examination, lab report, clinical impression & physician orders. When labs are ordered,

there must be a copy of the order and the lab report that the physician has reviewed.




What is the minimum requirement for the signature of the author of an entry in the medical

records? The first initial, last name and credentials




Based on JCAHO accreditation guidance for personal data, what two elements must be evident

in the medical records? Personal biographical data and consent for Treatment or

authorization for Treatment form.




What is a comprehensive/focus review audit? A large number of claims are selected for

review that might be focused on specific procedure and/or dx codes




What is RAT-STATS used for by an auditor? Software used in performing statistical

random samples and evaluating results.

, CPMA practice exam A Questions And
Answers

The Stark Statute applies to who and states what? Applies to government payers. States

the provider cannot refer pts to a health care facility where they or immediate family members

has a financial relationship.




What are the recommended number of charts to audit per provider and the minimum frequency

of the audit? 10 records per provider each year.




When can a RAC extrapolate the overpayment(s) on claim? If a RAC can demonstrate a

high level of error, the RAC can then extrapolate the findings and request a refund.




Patients can request copies of disclosure of PHI under HIPAA for how long? A six year

period of time.




What are the civil monetary penalties for false or fraudulent claims? Up to 11,000 per

claim and three times the amount improperly claimed.




The Claims Review procedure requires a full sample of 50 sampling units be randomly selected

for review when the net financial error rate reaches what % 5%

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