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AAPC CASES CPMA Review Questions And Answers
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AAPC CASES CPMA Review Questions And Answers When must ABNs be signed? Far enough in advance that the beneficiary or representative has time to consider the options and make an informed choice What is the appropriate way to dispose of PHI that is no longer needed? Discard it in a locked shr...

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  • October 19, 2024
  • 8
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • aapc cases cpma review questions and answers

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  • Cpma
  • Cpma

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AAPC CASES CPMA Review Questions
And Answers

When must ABNs be signed? Far enough in advance that the beneficiary or representative

has time to consider the options and make an informed choice




What is the appropriate way to dispose of PHI that is no longer needed? Discard it in a

locked shredding receptacle




Which of the following would NOT be expected to fall under the responsibility or oversight of

an organization's compliance committee? C. Recommending a specific merit increase in

pay for employee's adherence to the code of conduct




A family physician requests a post payment audit on claims from a particular commercial payer

from which he is receiving denials. Whenever the provider performs a minor procedure with an

E/M service, the minor surgery is reimbursed but the E/M service is denied. You review 10

charts and all cases are documented and coded correctly. What could be the reason for the

denial? The payer contract may bundle the E/M service when performed on the same day

as the minor surgery

, AAPC CASES CPMA Review Questions
And Answers
Which type of case is not prosecuted under the federal false claims act? A. Physician tax

issues




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

of the audit? C. 10 records per provider each year




How is RAT-STATS used by an auditor? B. Software used in performing statistical

random samples and evaluating results




A comprehensive audit is: A. A large number of claims are selected for a review that

might be focused on specific procedure and/or diagnosis codes.




According to the 2017 _________, the OIG will review Medicare Part B payments for prolonged

services to determine whether the payments were made according to Medicare requirements.

B. OIG Work Plan




Commercial and Government carriers audit medical records. Select the statement that is true

regarding commercial and government carriers. B. Commercial carriers and Government

carriers both use claims data to find locate providers and services to audit.

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