Cpma chapter one exam - Study guides, Class notes & Summaries

CPMA Exam - Chapter 5: Corrective action Plans, Questions and answers, 100% accurate. Except in the case of routine or annual compliance audits conducted on behalf of providers that do not have formal compliance programs or staff, - -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, - -it usually falls to...

Chapter 1 CPMA Exam Prep Questions with accurate answers, 100% Accurate, rated A+ 12.1% - -# of improper Medicare Fee-For-Service claim payments, according to Federal Government. FFS - -Fee-For-Service Prepayment Review - -Review of claims prior to payment. Prepayment reviews result in an initial determination. Postpayment Review - -Review of claims after payment. May result in either no change to the initial determination or a revised determination, indicating an underpayment or o...

CPMA Exam - Chapter 5: Corrective action Plans, Questions and answers, 100% Accurate. Approved. Except in the case of routine or annual compliance audits conducted on behalf of providers that do not have formal compliance programs or staff, - -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, - -it usuall...

CPMA EXAM chapter 5. Questions and answers, 100% Accurate. Approved. Which statement is true regarding an audit performed on charts for Medicare beneficiaries? - -National CMS policies and local MAC policies should be utilized when performing Medicare audits. In addition to CMS it is necessary to know your Medicare Administrative Contractor that supports the location where services are rendered for example 4x4 rule. How often should an internal audit be conducted minimally? - -Annually (...

CPMA EXAM chapter 5, Top Questions and answers, 100% Accurate, Verified. Which statement is true regarding an audit performed on charts for Medicare beneficiaries? - -National CMS policies and local MAC policies should be utilized when performing Medicare audits. In addition to CMS it is necessary to know your Medicare Administrative Contractor that supports the location where services are rendered for example 4x4 rule. How often should an internal audit be conducted minimally? - -Annual...

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 ...

CPMA EXAM chapter 5 questions and answers 100% verified. Which statement is true regarding an audit performed on charts for Medicare beneficiaries? - correct answers.National CMS policies and local MAC policies should be utilized when performing Medicare audits. In addition to CMS it is necessary to know your Medicare Administrative Contractor that supports the location where services are rendered for example 4x4 rule. How often should an internal audit be conduct...

CPMA- Chapter one exam Questions and Answers In the NCCI edits, what does modifier indicator nine (9) represent? A modifier may be used to bypass the edits if the documentation supports the modifier. B. A modifier is not allowed to bypass the NCCI edits. C. Only modifier 59 can be used to bypass the edit. D. Modifiers are not applicable to the edits, the NCCI edit is not in effect. - Answer-D. Modifiers are not applicable to the edits, the NCCI edit is not in effect. Rationale: The Correc...

Chapter 1 CPMA Exam Prep Questions and Answers 12.1% - Answer-# of improper Medicare Fee-For-Service claim payments, according to Federal Government. FFS - Answer-Fee-For-Service Prepayment Review - Answer-Review of claims prior to payment. Prepayment reviews result in an initial determination. Postpayment Review - Answer-Review of claims after payment. May result in either no change to the initial determination or a revised determination, indicating an underpayment or overpayment. Und...

CPMA- Chapter one exam questions and answers.