CPMA Practice Exam A | Certified Professional Medical Auditor Study Guide & Practice
SOAP - (answer)Subjective, Objective, Assessment, Plan
CHEDDAR - (answer)Chief complaint, Hx, Exam, Details of problem/complaint, Drugs & dosages,
Assessment, Return visit
Subjective - (answer)Pt complaint
Objective - (answer)Provider observation
Assessment - (answer)Medical Dx
Plan - (answer)Treatment
You are performing an audit of e/m services for a FP office. In the encounter you read the physician
ordered and reviewed a differential WBC. What elements would you expect to see in the medical
records? - (answer)Patient ID, assignment of benefits, pt's medical hx, immunizations, physical
examination, lab report, clinical impression & physician orders. When labs are ordered, there must be a
copy of the order and the lab report that the physician has reviewed.
What is the minimum requirement for the signature of the author of an entry in the medical records? -
(answer)The first initial, last name and credentials
Based on JCAHO accreditation guidance for personal data, what two elements must be evident in the
medical records? - (answer)Personal biographical data and consent for Treatment or authorization for
Treatment form.
What is a comprehensive/focus review audit? - (answer)A large number of claims are selected for review
that might be focused on specific procedure and/or dx codes
What is RAT-STATS used for by an auditor? - (answer)Software used in performing statistical random
samples and evaluating results.
SOAP - (answer)Subjective, Objective, Assessment, Plan
CHEDDAR - (answer)Chief complaint, Hx, Exam, Details of problem/complaint, Drugs & dosages,
Assessment, Return visit
Subjective - (answer)Pt complaint
Objective - (answer)Provider observation
Assessment - (answer)Medical Dx
Plan - (answer)Treatment
You are performing an audit of e/m services for a FP office. In the encounter you read the physician
ordered and reviewed a differential WBC. What elements would you expect to see in the medical
records? - (answer)Patient ID, assignment of benefits, pt's medical hx, immunizations, physical
examination, lab report, clinical impression & physician orders. When labs are ordered, there must be a
copy of the order and the lab report that the physician has reviewed.
What is the minimum requirement for the signature of the author of an entry in the medical records? -
(answer)The first initial, last name and credentials
Based on JCAHO accreditation guidance for personal data, what two elements must be evident in the
medical records? - (answer)Personal biographical data and consent for Treatment or authorization for
Treatment form.
What is a comprehensive/focus review audit? - (answer)A large number of claims are selected for review
that might be focused on specific procedure and/or dx codes
What is RAT-STATS used for by an auditor? - (answer)Software used in performing statistical random
samples and evaluating results.
