Cpma exam chapter 3 2025 - Study guides, Class notes & Summaries

CPMA Exam Chapter 3 | Questions and Correct Answers | Latest Update 2024/2025 | 100% PASS 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 ...

CPMA Exam Chapter 3 | Questions and Correct Answers | Latest Update 2024/2025 | 100% PASS 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 ...

Chapter 1 CPMA Exam Prep Questions and Answers | 100% Pass 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 overp...

CPMA Chapter 5 - Analysis and Report of Audit Findings Exam Questions and Answers | 100% Pass Understanding how to develop and draft a well-structured and detailed audit report is - Answer-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 - Answer-easy for the auditee to read, understand and apply Components of the Audit Report - Answer-Background Summary of Audit Find...

CPMA Exam Chapter 3 Study Guide with Complete 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 sen...

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 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...

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 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: 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 ...