CPMA EXAM SCRIPT 2026 TESTED
QUESTIONS AND COMPLETE SOLUTIONS
GRADED A+
⩥ Report copies and printouts, films, scans, and other radio logic service
image records must be retained for how long according to Federal
Regulations?
A. 10 years
B. 7 years
C. 5 years
D. 3 years. Answer: C. 5 years
⩥ At which point should a provider repay over payments reported by
self-disclosure to the office of Inspector General?
A. Make the payment to your carrier immediately.
B. Make the payment at the conclusion of the OIG injury.
C. Make the payment to the carrier prior to the self disclosure.
,D. Make the payment to the OIG with a self disclosure report.. Answer:
B. Make the payment at the conclusion of the OIG injury
⩥ Which of the following may be considered essential element (s) of an
operative report and will allow for accurate coding?
A. The approach
B. The type of anesthesia required
C. The location and severity of wounds repaired
D. All of the above. Answer: D. All of the above
⩥ Which of the following is NOT a covered entity under HIPPA?
A. Physician
B. Health Plan
C. Health Care Consultant
D. Physician Assistant. Answer: C. Health Care Consultant
⩥ When referring to the authentication of a medical record entry, what
does this entail?
A. Legible signature of author and date signed
B. A physician's order for ancillary services
,C. An original document filed in the record
D. The patient's personal information. Answer: A. Legible signature of
author and date signed
⩥ What is the time limit mandated by CMS for adding a late entry to the
medical record?
A. One Week
B. One Month
C. One Year
D. No time limit. Answer: D. No time limit
⩥ When should a ABN be signed?
A. Prior to performing a statutorily excluded procedure for a Medicare
beneficiary.
B. Prior to performing a procedure that may be denied due to medical
necessity for a Medicare beneficiary.
C. Prior to submitting a claim to Medicaid for a non- service.
, D. After performing a procedure and finding it is denied.. Answer: B.
Prior to performing a procedure that may be denied due to medical
necessity for a Medicare beneficiary.
⩥ Under a Corporate Integrity Agreement (CIA), how many claims must
be randomly selected to review to determine the financial error rate?
A. 15
B. 50
C. 75
D. 100. Answer: B. 50
⩥ When using LCDs and CMS program Guidance as a resource for an
audit, what should the auditor keep in mind?
A. QICs are bound by NCDs, LMRPs, and CMS Program guidance, but
ALJs and MACs are not.
B. Local carriers and QICs are bound by LCDs and LMRPs
C. Local carries follow LCDs, LMRPs, and CMS program guidance, but
QICs, ALJs, and MACs are not bound by them.
QUESTIONS AND COMPLETE SOLUTIONS
GRADED A+
⩥ Report copies and printouts, films, scans, and other radio logic service
image records must be retained for how long according to Federal
Regulations?
A. 10 years
B. 7 years
C. 5 years
D. 3 years. Answer: C. 5 years
⩥ At which point should a provider repay over payments reported by
self-disclosure to the office of Inspector General?
A. Make the payment to your carrier immediately.
B. Make the payment at the conclusion of the OIG injury.
C. Make the payment to the carrier prior to the self disclosure.
,D. Make the payment to the OIG with a self disclosure report.. Answer:
B. Make the payment at the conclusion of the OIG injury
⩥ Which of the following may be considered essential element (s) of an
operative report and will allow for accurate coding?
A. The approach
B. The type of anesthesia required
C. The location and severity of wounds repaired
D. All of the above. Answer: D. All of the above
⩥ Which of the following is NOT a covered entity under HIPPA?
A. Physician
B. Health Plan
C. Health Care Consultant
D. Physician Assistant. Answer: C. Health Care Consultant
⩥ When referring to the authentication of a medical record entry, what
does this entail?
A. Legible signature of author and date signed
B. A physician's order for ancillary services
,C. An original document filed in the record
D. The patient's personal information. Answer: A. Legible signature of
author and date signed
⩥ What is the time limit mandated by CMS for adding a late entry to the
medical record?
A. One Week
B. One Month
C. One Year
D. No time limit. Answer: D. No time limit
⩥ When should a ABN be signed?
A. Prior to performing a statutorily excluded procedure for a Medicare
beneficiary.
B. Prior to performing a procedure that may be denied due to medical
necessity for a Medicare beneficiary.
C. Prior to submitting a claim to Medicaid for a non- service.
, D. After performing a procedure and finding it is denied.. Answer: B.
Prior to performing a procedure that may be denied due to medical
necessity for a Medicare beneficiary.
⩥ Under a Corporate Integrity Agreement (CIA), how many claims must
be randomly selected to review to determine the financial error rate?
A. 15
B. 50
C. 75
D. 100. Answer: B. 50
⩥ When using LCDs and CMS program Guidance as a resource for an
audit, what should the auditor keep in mind?
A. QICs are bound by NCDs, LMRPs, and CMS Program guidance, but
ALJs and MACs are not.
B. Local carriers and QICs are bound by LCDs and LMRPs
C. Local carries follow LCDs, LMRPs, and CMS program guidance, but
QICs, ALJs, and MACs are not bound by them.
