Cpma chapter - Study guides, Class notes & Summaries

CPMA Chapter 2 Exam Questions and Verified Answers| Grade A+ | 100% Correct (2024/ 2025 Update)

CPMA Chapter 1 Questions and Verified Answers| Grade A+ | 100% Correct (2024/ 2025 Update)

CPMA Chapter 1 Exam Prep With 100% Correct Answers 12.1% - Correct Answer-# of improper Medicare Fee-For-Service claim payments, according to Federal Government. FFS - Correct Answer-Fee-For-Service Prepayment Review - Correct Answer-Review of claims prior to payment. Prepayment reviews result in an initial determination. Postpayment Review - Correct Answer-Review of claims after payment. May result in either no change to the initial determination or a revised determination, indicatin...

CPMA CHAPTER #2 EXAM QUESTIONS WITH COMPLETE ANSWERS

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...

Understanding how to develop and draft a well-structured and detailed audit report is a critical skill for any competent auditor. The audit report should identify the key findings and present the analysis, rationale and recommendations in a format that is easy for the auditee to read, understand and apply Components of the Audit Report Master01 | September, 2024/2025 | Latest update 1 | P a g e | © copyright 2024/2025 | Grade A+ Background Summary of Audit Findings Standar...

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...

What is the reason audit findings should be discussed with the provider audited? To provide a risk analysis, identify problem areas, and recommend corrective action with supporting documentation What type of information can be found In The providers contract with the insurance carrier? The providers obligation to follow the insurance company's medical policies What type of insurance plans may require an auditor to identify non-standard coding and reimbursement rules? Auto an...

CPMA Chapter 4 Exam Questions and Verified Answers| Grade A+ | 100% Correct (2024/ 2025 Update)