Chapter 5 cpma exam - Study guides, Class notes & Summaries

CPMA EXAM chapter 5 Questions and Answers Which statement is true regarding an audit performed on charts for Medicare beneficiaries? - Correct ️️ 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? - Correct ️️ Annually (mo...

CPMA EXAM chapter 5

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 Exam Chapter 5: Communication Under Corporate integrity Agreement CPMA 2023(All of chapter 4) CPMA Chapter 5 Review Question and answers 100% correct 2023 In some circumstances, as part of a settlement agreement involving repayment of money to the government, the government will impose - correct answer a Corporate Integrity Agreement (CIACPMA Chapter 5 Review An audit performed after the claims have been submitted in referred to as what type of audit? - correct answer Retrospective...

CPMA Exam Chapter 5: SelfDisclosure Audits | Questions and Correct Answers | Latest Update 2024/2025 | 100% PASS 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 ...

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 Exam Chapter 5 Question and answers 2023 verified to pass

CPMA Exam - Chapter 5: Corrective action Plans | Questions and Correct Answers | Latest Update 2024/2025 | 100% PASS 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 ...

Chapter 1 CPMA Exam Prep Questions And Answers 12.1% - ANS # of improper Medicare Fee-For-Service claim payments, according to Federal Government. FFS - ANS Fee-For-Service Prepayment Review - ANS Review of claims prior to payment. Prepayment reviews result in an initial determination. Post Payment Review - ANS 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 Exam Chapter 5: Communication Under Corporate integrity Agreement | Questions and Correct Answers | Latest Update 2024/2025 | 100% PASS In some circumstances, as part of a settlement agreement involving repayment of money to the government, the government will impose - Answer -a Corporate Integrity Agreement (CIA) A CIA (Corporate Integrity Agreement) is - Answer -an imposed compliance program, usually in force for five (5) years. During the time (usually 5 years) of an imposed C...