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CPMA STUDY Questions and Answers (100% Pass)
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CPMA STUDY Questions and Answers (100% Pass)
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1|Page | © copyright 2024/2025 | Grade A+CPMA STUDY Questions and
Answers (100% Pass)
WHAT IS THE IMPORTANCE OF AUDIT IN A PRACTICE?
✓ 1. Reviewing quality of care provided to patients. 2. Educating
providers on documentation. 3. Ensuring all services are supported and
all appropriate revenue is captured. 4. Defending against external
audit malpractice litigation and health plan request and denial.
Exclusion Statute
✓ 1.Physician is banned from participating in any federal or state
healthcare program by OIG 2. They can't bill federal or state for any
services provided .3 length: host less than five years .4 When
exclusionary period has ended dr must apply for reinstatement and
receive authorize notice from OIG that reinstate has been granted
Abuse
✓ In action resulting in unnecessary cost to a federal healthcare program
either directly or indirectly
What is the civil penalty
Master01 | October, 2024/2025 | Latest update
, 1|Page | © copyright 2024/2025 | Grade A+
✓ Not less than 5000 and not more than 10,000 per claim x3 times the
amount of government damages
Federal False Claims Act
✓ Having knowledge that claims is fake.
✓ .1 knowing and knowingly that a person must act in deliberate
ignorance of the truth or falsely of the relevant information or act in a
reckless manner of the truth or falsity of the Information
Qui Tam
✓ whistleblower
what percentage is offered for a whistleblower/qui tam as an award from
what is recovered by the government?
✓ between 15% and 25%
fraud
✓ Knowingly making false statements or misrepresenting facts to obtain
an undeserved benefit or payment from federal healthcare program
Discovery sample
Master01 | October, 2024/2025 | Latest update
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