CPMA Study Guide UPDATED
ACTUAL Exam Questions and
CORRECT Answers
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Terms in this set (89)
, The FCA allows for reduction
penalties if the person committing
the violation self-discloses; states
The False
that the court may assess not less
Claims Act
than two times the amount of
allows for
damages; which the government
reduction of
sustains because the act of the
penalties to two
person, if the person responsible
times the
furnishes officials of the U.S.
amount of
responsible for investigating false
damages (as
claims violations with all the
opposed to
information known to such person
three times)
about the violation within 30 days
under what
after the date on which the
condition?
defendant first obtained the
information; and the person fully
cooperates with the investigation.
, Penalties for violation of the Stark
The penalties
Law are civil penalties which
for violation of
include overpayment/refund
the Stark Law
obligation, FCA, civil monetary
include
penalties program exclusion,
program
potential for $15,000 (prior to
exclusion for
inflation) for each service and civil
knowing
assessment up to three times the
violations and:
amount claimed.
The compliance Coding and Billing, reasonable and
program necessary services,
guidance (CPG) documentation, improper
document inducements.
identifies four
risk areas most
likely to affect a
physician's
practice. The
risk areas
include:
, The manager of CPG indicates that whenever non-
a small compliance is identified by the
physician's compliance staff, corrective action
practice who is must be taken. Any finding of non-
also the compliant conduct must be
compliance documented in the compliance
officer, contacts files and include date of incident,
you an auditor, name of the reporting party, name
stating that a of the person responsible for
coding and taking action, and the follow-up
billing violation action taken
has been
identified by
the billing
department
manager. You
advise the
compliance
officer to
document
which of the
following in the
practice's
compliance file:
ACTUAL Exam Questions and
CORRECT Answers
Save
Terms in this set (89)
, The FCA allows for reduction
penalties if the person committing
the violation self-discloses; states
The False
that the court may assess not less
Claims Act
than two times the amount of
allows for
damages; which the government
reduction of
sustains because the act of the
penalties to two
person, if the person responsible
times the
furnishes officials of the U.S.
amount of
responsible for investigating false
damages (as
claims violations with all the
opposed to
information known to such person
three times)
about the violation within 30 days
under what
after the date on which the
condition?
defendant first obtained the
information; and the person fully
cooperates with the investigation.
, Penalties for violation of the Stark
The penalties
Law are civil penalties which
for violation of
include overpayment/refund
the Stark Law
obligation, FCA, civil monetary
include
penalties program exclusion,
program
potential for $15,000 (prior to
exclusion for
inflation) for each service and civil
knowing
assessment up to three times the
violations and:
amount claimed.
The compliance Coding and Billing, reasonable and
program necessary services,
guidance (CPG) documentation, improper
document inducements.
identifies four
risk areas most
likely to affect a
physician's
practice. The
risk areas
include:
, The manager of CPG indicates that whenever non-
a small compliance is identified by the
physician's compliance staff, corrective action
practice who is must be taken. Any finding of non-
also the compliant conduct must be
compliance documented in the compliance
officer, contacts files and include date of incident,
you an auditor, name of the reporting party, name
stating that a of the person responsible for
coding and taking action, and the follow-up
billing violation action taken
has been
identified by
the billing
department
manager. You
advise the
compliance
officer to
document
which of the
following in the
practice's
compliance file:
