CPMA EVALUATION 2026 EXAMS LATEST
QUESTIONS AND ANSWERS SURE A+
✔✔Which resource is valuable when performing surgical audit?
a. 1995 and 1997 Evaluation and Management Documentation Guidelines.
b. NCCI Manual
c. E/M audit Tool
d. Advance Beneficiary Notice (ABN) - ✔✔b. NCCI Manual
✔✔which resources is valuable when performing and evaluation of management audit?
a. 1995 and 1997 Evaluation and Management Documentation Guidelines
b. NCCI Manual
c. Surgical Audit Tool
d. Advance Beneficiary Notice (ABN) - ✔✔a. 1995 and 1997 Evaluation and
Management Documentation Guidelines
,✔✔What is an example of why office policies are helpful in an audit?
a. Office policies outline termination procedures for employees.
b. Office policies determine the medical necessity of services performed.
c. Office policies may specify what to bill when a preventive service and problem visit
are provided at the same time.
d. Office policies provide specifications on OSHA policies. - ✔✔c. Office policies may
specify what to bill when a preventive service and problem visit are provided at the
same time.
✔✔Which type of audit often realizes more objectivity than with an employed auditor?
a. Peer Review audit
b. Internal audit.
c. External audit
d. Random audit - ✔✔c. External audit
✔✔What is non-statistical sampling?
a. Sample based on unique services that were defined in the objective and scope and is
used in focused audits.
b. Sampling based on high frequency items, or those items that are considered to be
proportionally significant.
c. Sampling based on all possible services within a chosen time frame.
d. Sampling based on provider recommendations. - ✔✔a. Sample based on unique
services that were defined in the objective and scope and is used in focused audits.
✔✔Which list represents the most comprehensive list of items reviewed in a
retrospective audit?
a. Medical record documentation encounter form, claim form, explanation of benefits or
remittance advice and payer polices.
b. Medical record documentation, encounter form, system reports for charge entry,
claim form.
, c. Encounter form, system reports for charge entry , claim form , explanation of benefits
or remittance advice, and payer policies.
d. Medical record documentation encounter form, claim form, explanation of benefits or
remittance advice, and payer policies. - ✔✔d. Medical record documentation encounter
form, claim form, explanation of benefits or remittance advice, and payer policies.
✔✔What documentation is more likely to be available to an internal auditor versus an
external auditor?
a. Medical record documentation
b. MAC policies
c. CMS policies
d. Commercial carrier contracts - ✔✔d. Commercial carrier contracts
✔✔What type of error might be found by reviewing the encounter form and claim form?
a. Keying errors occurring during the data entry process.
b. Keying errors occurring during the data entry process
c. Medical necessity is not supported for services
d. Bundling edits are not being followed.a - ✔✔a. Keying errors occurring during the
data entry process.
✔✔When performing a government audit, the NCCI edits manual can serve what
purpose?
a. Provide medical necessity support.
b. Support the use of modifiers.
c. Determine evaluation and management levels
d. Determine MAC coverage decisions - ✔✔b. Support the use of modifiers.
✔✔As an auditor , you work for a CPA firm who has been asked to perform an audit of a
new practice to determine risk areas for their documentation. There have not been any
prior audits at this practice. What tye of audit should be performed?
QUESTIONS AND ANSWERS SURE A+
✔✔Which resource is valuable when performing surgical audit?
a. 1995 and 1997 Evaluation and Management Documentation Guidelines.
b. NCCI Manual
c. E/M audit Tool
d. Advance Beneficiary Notice (ABN) - ✔✔b. NCCI Manual
✔✔which resources is valuable when performing and evaluation of management audit?
a. 1995 and 1997 Evaluation and Management Documentation Guidelines
b. NCCI Manual
c. Surgical Audit Tool
d. Advance Beneficiary Notice (ABN) - ✔✔a. 1995 and 1997 Evaluation and
Management Documentation Guidelines
,✔✔What is an example of why office policies are helpful in an audit?
a. Office policies outline termination procedures for employees.
b. Office policies determine the medical necessity of services performed.
c. Office policies may specify what to bill when a preventive service and problem visit
are provided at the same time.
d. Office policies provide specifications on OSHA policies. - ✔✔c. Office policies may
specify what to bill when a preventive service and problem visit are provided at the
same time.
✔✔Which type of audit often realizes more objectivity than with an employed auditor?
a. Peer Review audit
b. Internal audit.
c. External audit
d. Random audit - ✔✔c. External audit
✔✔What is non-statistical sampling?
a. Sample based on unique services that were defined in the objective and scope and is
used in focused audits.
b. Sampling based on high frequency items, or those items that are considered to be
proportionally significant.
c. Sampling based on all possible services within a chosen time frame.
d. Sampling based on provider recommendations. - ✔✔a. Sample based on unique
services that were defined in the objective and scope and is used in focused audits.
✔✔Which list represents the most comprehensive list of items reviewed in a
retrospective audit?
a. Medical record documentation encounter form, claim form, explanation of benefits or
remittance advice and payer polices.
b. Medical record documentation, encounter form, system reports for charge entry,
claim form.
, c. Encounter form, system reports for charge entry , claim form , explanation of benefits
or remittance advice, and payer policies.
d. Medical record documentation encounter form, claim form, explanation of benefits or
remittance advice, and payer policies. - ✔✔d. Medical record documentation encounter
form, claim form, explanation of benefits or remittance advice, and payer policies.
✔✔What documentation is more likely to be available to an internal auditor versus an
external auditor?
a. Medical record documentation
b. MAC policies
c. CMS policies
d. Commercial carrier contracts - ✔✔d. Commercial carrier contracts
✔✔What type of error might be found by reviewing the encounter form and claim form?
a. Keying errors occurring during the data entry process.
b. Keying errors occurring during the data entry process
c. Medical necessity is not supported for services
d. Bundling edits are not being followed.a - ✔✔a. Keying errors occurring during the
data entry process.
✔✔When performing a government audit, the NCCI edits manual can serve what
purpose?
a. Provide medical necessity support.
b. Support the use of modifiers.
c. Determine evaluation and management levels
d. Determine MAC coverage decisions - ✔✔b. Support the use of modifiers.
✔✔As an auditor , you work for a CPA firm who has been asked to perform an audit of a
new practice to determine risk areas for their documentation. There have not been any
prior audits at this practice. What tye of audit should be performed?
