CPMA Practice Test C Correct Questions & Answers!

When auditing operative notes, the auditor will expect to see documentation from all of the following except - ANSWER Surgical assistants According to the Health Insurance Portability and Accountability Act of 1996 (HIPAA), an outside auditor must sign which of the following agreements prior to reviewing and auditing any medical records? - ANSWER Business Associate Agreement The HIPAA Privacy Rule defines "minimum necessary" as typically requiring healthcare employees to - ANSWER Follow policies and procedures developed by the covered entity which limit use and disclosure of PHI to that which is needed to accomplish the intended purpose to perform the duties of their job When auditing an ENT practice, you discover the practice uses an EMR. Which of the following options would you look for when reviewing documents created in the electronic medical record or notes created using templates that may be indicators of misuse? - ANSWER Complete medical histories on each visit, diagnosis driven by clinical picture, repetitious notes not relevant to presenting problem State law will take precedence over HIPAA under which of the following circumstances - ANSWER If HIPAA is less restrictive than state law When providing a prescription for a patient, the education of the patient (including side effects and supporting documentation) in the medical record that the information was reviewed is based on which of the following standards? - ANSWER Joint Commission standards A deliberate misrepresentation of facts to gain unauthorized benefits is the definition of - ANSWER Fraud What is an action resulting in unnecessary costs, whether directly or indirectly, to a federal healthcare plan considered? - ANSWER Abuse When responding to a subpoena for medical records, which of the following documents would likely NOT be required to be copied and submitted: - ANSWER Signed authorization for release of information Dr. Black receives a demand letter from the OIG stating the sanctions are sought under CMP for claims submitted by Dr. Black. He asks you, his auditor, to review the letter and