CPMA Practice Exam A 2023 with 100% correct answers

You are performing an audit of evaluation and management services for a family practice office. In the encounter, you read the physician order and reviewed a differential WBC. Which of the following best describes what you would expect to see in the medical record? Patient identification, assignment of benefits, patient's medical history, immunizations, physical examination, lab report, clinical impression, and physician orders. What is the minimum signature assignment(s) of the author of an entry in the medical record? The first initial, last name and credentials Based on Joint Commission accreditation guidance for personal data, what two elements must be evident in the medical record Personal biographical data and consent for treatment or authorization for treatment form As an auditor, who of the following would NOT be expected to submit operative notes? Surgical assistants What is the appropriate way to dispose of PHI that is no longer needed? Discard it in a locked shredding receptacle When must ABNs be signed? Far enough in advance that the beneficiary or representative has time to consider the options and make an informed decision SOAP and CHEDDAR are two formats of medical record documentation. Which section of each format would you find the patient's history? S in SOAP and H in CHEDDAR Patients can request copies of disclosure of PHI under HIPAA For a six (6) year period of time In preparation for a high volume of patients coming in for chemotherapy, the nurse documents the chemotherapy treatments in advance. The purpose is to speed up the treatment process so patients do not have to wait long. Would this cause concern in an audit? Yes, chart entry should not be made in advance of the treatment A provider knows that an evaluation and management service they provide on the same date as a major procedure will be bundled, so he submits the claim for the E/M with a different date of service. This is an example of: Fraud For the civil monetary penalties, for false or fraudulent claims, up to how many times of the amount damages are for each false claim submitted? Three times the amount improperly claimed Which type of case is not prosecuted under the federal false claims act? Physician tax issues A full sample must be reviewed and a systems review must be conducted when the net financial error rate of the sampling equals or exceeds what percent? 5% Which of the following would NOT be expected to fall under the responsibility or oversight of an organization's compliance committee Recommending a specific merit increase in pay for employee's adherence to the code of conduct Beginning November 2019, the OIG stated Medicare payment to physicians for Stelara have increased significantly and will study the payments to determine if there is evidence of improper billing by the physicians. Where is information regarding potential reviews found? OIG Work Plan