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Exam (elaborations)

CPMA EXAM QUESTIONS AND ANSWERS 100% SOLVED

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CPMA EXAM QUESTIONS AND ANSWERS 100% SOLVED 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 How often are the OIG workplans updated? Monthly online The FCA allows for reduced penalties if the person committing the violation does what? Self discloses Fraud or Abuse? Misrepresenting a DX to justify payment? Fraud Fraud or Abus? Improper billing practices Abuse Fraud or Abuse? Altering claim forms and/or receipts to receive a higher payment amount. Fraud

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