Cpma exam chapter 3 2024 - Study guides, Class notes & Summaries
Looking for the best study guides, study notes and summaries about Cpma exam chapter 3 2024? On this page you'll find 14 study documents about Cpma exam chapter 3 2024.
Page 2 out of 14 results
Sort by
-
CPMA Exam Chapter 3 Study Guide with Verified Solutions
- Exam (elaborations) • 6 pages • 2024
- Available in package deal
-
- $9.99
- + learn more
CPMA Exam Chapter 3 Study Guide with Verified 
Solutions 
Accurate reimbursement begins with - Answer-accurate coding and rules that vary by payer 
The CPT codebook contains - Answer-instructions, coding guidelines, parenthetical notes, 
and symbols to provide guidance for proper coding. 
Not all payers follow CPT coding guidelines. - Answer-An auditor must be able to apply 
payer variations to the CPT guidelines during an audit, and must communicate the differences in 
a way that will make sens...
-
Chapter 5 CPMA Exam: Contract-based Commercial Insurance Plans Questions and Answers
- Exam (elaborations) • 6 pages • 2024
-
- $9.99
- + learn more
Chapter 5 CPMA Exam: Contract-based 
Commercial Insurance Plans Questions 
and Answers 
Most common commercial insurance plans are - Answer-contract based 
That is, benefits arise primarily under a contract between the insurance company and the 
subscriber/patient 
Where the healthcare provider is in network, - Answer-the provider agrees to abide by 
certain rules in a separate contract.. 
The auditor must review the contract to determine the rules the provider is bound to follow 
For commercial...
-
CPMA Exam Chapter 5: Self-Disclosure Audits Study Guide
- Exam (elaborations) • 6 pages • 2024
- Available in package deal
-
- $9.99
- + learn more
CPMA Exam Chapter 5: Self-Disclosure 
Audits Study Guide 
The OIG Self-Disclosure Protocol (SDP) provides the - Answer-ability to self-disclose 
potential instances of fraud involving federal healthcare programs for which liability arises 
under the OIG's civil money penalty authorities 
The SDP (Self-Disclosure Protocol) is not for reporting of - Answer-potential or actual Stark 
(self-referral) violations; 
It is not a means to obtain an advisory opinion to determine if the suspect conduct ...
-
CPMA Exam - Chapter 5: Corrective action Plans Questions and Answers
- Exam (elaborations) • 6 pages • 2024
- Available in package deal
-
- $9.99
- + learn more
CPMA Exam - Chapter 5: Corrective 
action Plans Questions and Answers 
Except in the case of routine or annual compliance audits conducted on behalf of providers that 
do not have formal compliance programs or staff, - Answer-it is not usually the auditor's 
responsibility to develop a corrective action plan. 
In the case of audits associated with voluntary repayments or disclosures under the SDP (Self 
Disclosure Protocol) for potentially fraudulent conduct, - Answer-it usually falls to the ...
Too much month left at the end of the money?
$6.50 for your textbook summary multiplied by 100 fellow students... Do the math: that's a lot of money! Don't be a thief of your own wallet and start uploading yours now. Discover all about earning on Stuvia