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CPMA Exam Questions And Answers
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CPMA Exam Questions And Answers Fraud or Abuse? Misrepresenting a DX to justify payment? Fraud Fraud or Abus? Improper billing practices Abuse Fraud or Abuse? Altering claim forms and/or receipts to receive a higher payment amount. Fraud Fraud or Abuse? Billing Medicare patients a higher fee...

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  • October 19, 2024
  • 14
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • cpma exam questions and answers

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  • Cpma
  • Cpma

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CPMA Exam Questions And Answers

Fraud or Abuse? Misrepresenting a DX to justify payment? Fraud




Fraud or Abus? Improper billing practices Abuse




Fraud or Abuse? Altering claim forms and/or receipts to receive a higher payment amount.

Fraud




Fraud or Abuse? Billing Medicare patients a higher fee schedule compared to non-Medicare

patients. Abuse




What does FCA stand for? Federal False Claims Act




How else is the Start Law referred? Physician self-referral law




How many federal OIGs are there? 73

, CPMA Exam Questions And Answers
What is the CIA? Corporate Integrity Agreements lasting typically 5 years as a guideline

to help providers that have been excluded.




When CIAs require claim reviews what is considered the DISCOVERY sample? 50

claims randomly selected (95% accuracy required)




What are the fundamental elements for an effective compliance program? 1. Written

policies 2. Compliance officer/committee 3. Training/education 4. Communication

5.Enforcement of standars & disciplinary actions 6. Internal audtis 7. respond & develope

corrective action plan




In a Corporate Integrity Agreement (CIA) does the OIG specify the IRO to be used? NO,

but the OIG does retain the right to notify the provider if they must select a new IRO




When non-compliance is identified, what does the OIG suggest? Take disciplinary action

& document the date of the incident, the name of the reporting party, name of the person

responsible for taking action and the f/u action taken.




The OIG lists potential risks for individual/small group practices compliance plans. Name a

potential risk area UNBUNDLING

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