Cpma right answers - Study guides, Class notes & Summaries

In the NCCI edits, what does modifier indicator nine represent? A. A modifier is not allowed to bypass the NCCI edits B. A modifier may be used to bypass the edits if the documentation supports the modifier C. Modifiers are not applicable he edits, the NCCI edit is not in effect D. Only modifier 59 can be used to bypass the edit. - c. Modifiers are not applicable he edits, the NCCI edit is not in effect In Corporate Integrity Agreement (CIA) does the OIG specify the Independent Review O...

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...

CPMA QUESTIONS AND ANSWERS GRADED A+|FULL SEMESTER Which option is NOT part of the seven elements that should be included in a compliance plan based on the OIG's recommendations? a. Responding promptly to detected offenses and developing corrective action. b. Conducting effective training and education. c. Identifying employees on the exclusions list. d. Developing effective lines of communication. c. Identifying employees on the exclusions list. The OIG's Compliance Program Guida...

CPMA QUESTIONS AND ANSWERS 2023 B. If documentation supports the service, have the staff contact the carrier to reprocess the claims. Code 33010 was valid for the date of service billed. Rationale: The effective dates of codes are date of service driven. New CPT® codes become effective January 1st of every year. When auditing, verify codes based on the codes that were valid during the date of service. In February 2020, an auditor is asked to review 10 records for date of service 12/1/2019 to...

CPMA Exam Questions and Answers | 100% Pass B. If documentation supports the service, have the staff contact the carrier to reprocess the claims. Code 33010 was valid for the date of service billed. Rationale: The effective dates of codes are date of service driven. New CPT® codes become effective January 1st of every year. When auditing, verify codes based on the codes that were valid during the date of service. - Answer-In February 2020, an auditor is asked to review 10 records for dat...

AAPC CASES CPMA Review questions and answers well illustrated. You are performing an audit of evaluation and management services for a family practice office. In the encounter, you read the physician ordered and reviewed a differential WBC. Which of the following best describes what you would expect to see in the medical record? - correct answers.Patient identification, assignment of benefits, patient's medical history, immunizations, physical examination, lab report,...

CMCA PRACTICE EXAM 136 Questions with Verified Answers The Joint Commission (JC) requires the Factors that Affect Learning must be assessed for a hospital or hospital owned physician practice as well as other health care facilities. When assessing this element what does this include? A. The patient's ability to read, method of learning and understanding. B. Any language or physical disabilities. C. Cultural beliefs. D. All the above - CORRECT ANSWER D. All the above Report cop...

CPMA Study Guide Questions and answers, 100% Accurate. Verified. The Joint Commission requires that Factors that Affect Learning must be ascertained for a hospital or hospital owned physician practice when assessing this element what does this include? - -*The patients ability to read, method learning, & understanding. *Any language or physical disabilities *Cultural beliefs. According to Federal regulations how long must report copies and printouts of films, scans, & other radiologica...

CPMA Exam Questions and answers, 100% Accurate, graded A+ Fraud or Abuse: Billing for a service at a higher level than provided - -Fraud What is a Qua Tam relator? - -A person who brings a civil action for a violation for him/herself & for US Govt What is the difference between Stark Law & Antikickback law? - -No INTENT must be provien for Stark, Antikickpack requires proof of intent When banned for Fed/State healthcare program, what is the term of exclusion (in Years)? - -5 years ...