CPMA chapter 4, Exam Questions and
answers, 100% Accurate, rated A+
An auditor is asked to perform a baseline audit of a multi-provider practice. How many records should
be selected for the baseline audit? - ✔✔-10-15 records per provider
An external auditor has been asked to review the E/M visits for a practice. For this focused audit, how
should the auditor determine which E/m levels to audit? - ✔✔-Run a utilization report comparing the
providers E/M levels to other providers of the same specialty in the same area
An auditor determined that all of Dr Adams' level four and five E/M services from January through May
20xx will be audited. What type of audit would this be? - ✔✔-Focused audit, non-statistical
Which type of audit may cause a delay in claims submission? - ✔✔-Prospective audit
Which list best describes effective auditing tools? - ✔✔-Code books reflective of the year services were
delivered, electronic/manual audit tools that guide auditor through compliance issues, guidelines, and
documentation requirements.
Statistical sampling built around high frequency items is known as - ✔✔-Proportional sampling
Which statement is TRUE regarding NCCI edits? - ✔✔-A commercial payer may follow the NCCI edits but
also add their own bundling edits.
answers, 100% Accurate, rated A+
An auditor is asked to perform a baseline audit of a multi-provider practice. How many records should
be selected for the baseline audit? - ✔✔-10-15 records per provider
An external auditor has been asked to review the E/M visits for a practice. For this focused audit, how
should the auditor determine which E/m levels to audit? - ✔✔-Run a utilization report comparing the
providers E/M levels to other providers of the same specialty in the same area
An auditor determined that all of Dr Adams' level four and five E/M services from January through May
20xx will be audited. What type of audit would this be? - ✔✔-Focused audit, non-statistical
Which type of audit may cause a delay in claims submission? - ✔✔-Prospective audit
Which list best describes effective auditing tools? - ✔✔-Code books reflective of the year services were
delivered, electronic/manual audit tools that guide auditor through compliance issues, guidelines, and
documentation requirements.
Statistical sampling built around high frequency items is known as - ✔✔-Proportional sampling
Which statement is TRUE regarding NCCI edits? - ✔✔-A commercial payer may follow the NCCI edits but
also add their own bundling edits.
