Cpma exam chapter 5 - Study guides, Class notes & Summaries

CPMA EXAM chapter 5 Questions with complete solutions

CPMA EXAM chapter 5 Questions with complete solutions

CPMA EXAM chapter 5 | Questions with 100% Correct Answers | Verified | Updated 2024

CPMA EXAM chapter 5 Questions & 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 (more...

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...

©BRAINBARTER 2024/2025 CPMA Exam Chapter 5: Self-Disclosure Audits Exam Questions With Verified Answers. The OIG Self-Disclosure Protocol (SDP) provides the - answerability 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 - answerpotential or actual Stark (self-referral) violations; It is not a means to obtain an advis...

CPMA EXAM chapter 5 Exam Questions And Answers What is considered good parameters for a baseline audit? Random audit of 10-15 records per practitioner along with office and surgical procedures selected procedures selected randomly. Which resource is valuable when performing a surgical audit? NCCI Manual assists the auditor in determining bundling issues with CPT code services provided. What is non-statistical sampling? Sample based on unique services that were defined in the objective...

CPMA EXAM chapter 5 Questions And Answers What is numerical sampling? Sampling based on all possible services within a chosen time frame. In this methodology, the sample size is based on all possible services within a certain timeframe. This type of sample lends itself well to a random final selection. What is considered good parameters for a baseline audit? Random audit of 10-15 records per practitioner along with office and surgical procedures selected procedures selected randomly. ...

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 (more often if problem is seen)