Cpma chapter 1 Study guides, Class notes & Summaries

CPMA chapter 1, Questions and answers, 100% Accurate. Rated A+ Which is considered Medicare abuse? - -Misusing codes on a claim What is the most significant difference between 1996 and 1997 documentation guidelines? - -Examination The goal of the Recovery Audit Contractor (RAC) program is to - -Identify improper payments made on claims of healthcare services provided to Medicare beneficiaries Submitting claims for expired drugs falls under which of the following - -False Claim Act ...

CPMA chapter 1

Chapter 1 CPMA Exam Prep /155 Questions And Answers Updated

Chapter 1 CPMA Exam Prep Questions and Answers 100% Solved 12.1%# of improper Medicare Fee-For-Service claim payments, according to Federal Government. FFSFee-For-Service Prepayment ReviewReview of claims prior to payment. Prepayment reviews result in an initial determination. Postpayment ReviewReview of claims after payment. May result in either no change to the initial determination or a revised determination, indicating an underpayment or overpayment. UnderpaymentA payment a provi...

CPMA Chapter 2 (2024) Questions and Answers Graded A+ HIPAA Enacted on August 21,1996 to provide rights and protections for participants and beneficiaries of group health plans. Under August 21, 1996 HIPAA , what two (2) stipulations were established 1) Exclusions for pre-existing conditions were limited; and 2) Discrimination against employees and dependents based on their health status were prohibited. HIPAA also established what (to combat fraud and abuse in healthcare)? The Heal...

Chapter 1 CPMA Exam Prep Questions and Answers Fully solved 2023 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 overpayment. ...

CPMA- Chapter one exam with complete solutions 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. - Correct ️️ D. Modifiers are not applicable to the edits, the NCCI edit is not in effect. Rationale: ...

12.1% - Correct ️️ # of improper Medicare Fee-For-Service claim payments, according to Federal Government. FFS - Correct ️️ Fee-For-Service Prepayment Review - Correct ️️ Review of claims prior to payment. Prepayment reviews result in an initial determination. Postpayment Review - Correct ️️ Review of claims after payment. May result in either no change to the initial determination or a revised determination, indicating an underpayment or overpayment. Underpaymen

Chapter 1 CPMA Exam Prep questions and answers 100% correct

Chapter 1 CPMA Exam Prep questions and answers 100% guaranteed success. 12.1% - correct answers.# of improper Medicare Fee-For-Service claim payments, according to Federal Government. FFS - correct answers.Fee-For-Service Prepayment Review - correct answers.Review of claims prior to payment. Prepayment reviews result in an initial determination. Postpayment Review - correct answers.Review of claims after payment. May result in either no change to the initial d...