CPMA QUESTIONS AND ANSWERS 100% SOLVED

CPMA QUESTIONS AND ANSWERS 100% SOLVED What regulation is the penalty for violating the False Claims Act (FCA) increased by? The Federal Civil Penalties Inflation Adjustment Act; The statute originally provided for a civil penalty of not less than $5,000, and not more than $10,000, per claim, plus three times the amount of the government damages if FCA liability was found. This amount is occasionally increased based on the Federal Civil Penalties Inflation Adjustment Act (FCPIA). When an IRO is completing a CIA Discovery Sample, how many sampling units are reviewed? 50 You audit a provider who is consistently reporting multiple units of CPT code 11042. What references can you use to show the provider multiple units of CPT code 11042 are not allowed and explain how it should be reported? CPT codebook and MUE (Medical Unlikely Edits) table. Under a CIA, 50 sampling units are selected for review. What is this sample referred to as? Discovery Sample; Under a CIA, a Discovery Sample of 50 sampling units is randomly selected for review. This Discovery Sample is used to determine the net financial error rate What action would be considered fraud rather than abuse? A provider requiring the coding staff to intentionally code E/M services one level higher than documented