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CPMA Practice test Questions and Answers (100% Pass)
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CPMA Practice test Questions and Answers (100% Pass)
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1|Page | © copyright 2024/2025 | Grade A+CPMA Practice test Questions and
Answers (100% Pass)
In evaluation and management services, what does the A stand for in SOAP?
What is included in this section?
✓ Assessment with diagnosis
You are performing an audit of evaluation and management services for a
family practice office. In the encounter, you read the physician order and
reviewed a differential WBC. Which of the following best describes what you
would expect to see in the medical record?
✓ Patient identification, assignment of benefits, patient's medical history,
immunizations, physical examination, lab report, clinical impression,
and physician orders.
What is the minimum signature assignment(s) of the author of an entry in the
medical record?
✓ . The first initial, last name and credentials
Based on Joint Commission accreditation guidance for personal data, what
two elements must be evident in the medical record:
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✓ Personal biographical data and consent for treatment or authorization
for treatment form
As an auditor, who of the following would NOT be expected to submit
operative notes?
✓ Surgical assistants
What is the appropriate way to dispose of PHI that is no longer needed?
✓ Discard it in a locked shredding receptacle
When must ABNs be signed?
✓ Far enough in advance that the beneficiary or representative has time
to consider the options and make an informed decision
SOAP and CHEDDAR are two formats of medical record documentation.
Which section of each format would you find the patient's history?
✓ S in SOAP and H in CHEDDAR
Patients can request copies of disclosure of PHI under HIPAA:
✓ For a six (6) year period of time
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In preparation for a high volume of patients coming in for chemotherapy, the
nurse documents the chemotherapy treatments in advance. The purpose is to
speed up the treatment process so patients do not have to wait long. Would
this cause concern in an audit?
✓ Yes, chart entry should not be made in advance of the treatment.
A provider knows that an evaluation and management service they provide
on the same date as a major procedure will be bundled, so he submits the
claim for the E/M with a different date of service. This is an example of:
✓ Fraud
For the civil monetary penalties, for false or fraudulent claims, up to how
many times of the amount damages are for each false claim submitted?
✓ Three times the amount improperly claimed
Which type of case is not prosecuted under the federal false claims act?
✓ Physician tax issues
A full sample must be reviewed and a systems review must be conducted
when the net financial error rate of the sampling equals or exceeds what
percent?
Master01 | October, 2024/2025 | Latest update
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✓ 5%
Which of the following would NOT be expected to fall under the responsibility
or oversight of an organization's compliance committee?
✓ Recommending a specific merit increase in pay for employee's
adherence to the code of conduct
Beginning November 2019, the OIG stated Medicare payment to physicians
for Stelara have increased significantly and will study the payments to
determine if there is evidence of improper billing by the physicians. Where is
information regarding potential reviews found?
✓ OIG Work Plan
An infectious disease provider has been notified by the MAC (Medicare
Administrative Contractor) in his region that the data indicates he is billing
level 99244 more frequent than other providers in the same specialty and
geographic region. The provider requests you audit a sample of his claims
that were coded as 99244 to determine if he is coding appropriately. What
supporting references will you need to conduct the audit?
Master01 | October, 2024/2025 | Latest update
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