CPMA 2024 – Questions With Correct Answers
Which is an example of fraud?
A. Misusing codes on a claim
B. Misrepresenting the dx to justify payment
C. Improper billing practices
D. Billing for services not medically necessary Correct Ans - B.
Misrepresenting the dx to justify payment
CMS defines abuse as Correct Ans - An action that results in
unnecessary costs to a federal healthcare program, either directly or
indirectly
CMS defines fraud as Correct Ans - making false statements or
misrepresenting facts to obtain an undeserved benefit or payment from a
federal healthcare program.
Which is an example of fraud?
A. Misusing codes on a claim
B. Improper billing practices
C. Billing for services not medically necessary
D. Billing for services and/or supplies that you know were not furnished or
provided Correct Ans - D. Billing for services and/or supplies that
you know were not furnished or provided
Which is an example of fraud?
A. Misusing codes on a claim
B. Improper billing practices
C. Billing for services at a higher level than provided or necessary
D. Billing for services not medically necessary Correct Ans - C.
Billing for services at a higher level than provided or necessary
Which is an example of fraud?
A. Altering claim forms &/or receipts to receive a higher pmt amt
B. Improper billing practices
C. Failure to maintain adequate medical or financial records
D. Billing for services not medically necessary Correct Ans - A.
Altering claim forms &/or receipts to receive a higher pmt amt
Which is an example of fraud?
A. Misusing codes on a claim
B. Misrepresenting the dx to justify payment
C. Improper billing practices
D. Billing for services not medically necessary Correct Ans - B.
Misrepresenting the dx to justify payment
CMS defines abuse as Correct Ans - An action that results in
unnecessary costs to a federal healthcare program, either directly or
indirectly
CMS defines fraud as Correct Ans - making false statements or
misrepresenting facts to obtain an undeserved benefit or payment from a
federal healthcare program.
Which is an example of fraud?
A. Misusing codes on a claim
B. Improper billing practices
C. Billing for services not medically necessary
D. Billing for services and/or supplies that you know were not furnished or
provided Correct Ans - D. Billing for services and/or supplies that
you know were not furnished or provided
Which is an example of fraud?
A. Misusing codes on a claim
B. Improper billing practices
C. Billing for services at a higher level than provided or necessary
D. Billing for services not medically necessary Correct Ans - C.
Billing for services at a higher level than provided or necessary
Which is an example of fraud?
A. Altering claim forms &/or receipts to receive a higher pmt amt
B. Improper billing practices
C. Failure to maintain adequate medical or financial records
D. Billing for services not medically necessary Correct Ans - A.
Altering claim forms &/or receipts to receive a higher pmt amt
