CPMA UPDATED COMPREHENSIVE EXAM
QUESTIONS AND ANSWERS SURE A+
is not required to dictate his or her own operative report?
a. Primary surgeon
b. Co-surgeon
c. Surgeons in a surgical team
d. Assistant surgeon - ✔✔d. Assistant surgeon
✔✔What is the Health Care Fraud and Abuse Control Program?
a. A program established by HIPPA to combat fraud and abuse in healthcare.
b. A program established by HIPPA to combat fraud and abuse in the healthcare.
c. The OIG's health care fraud prevention and enforcement team.
d. A program established by the OIG to create sample compliance plans. - ✔✔b. A
program established by HIPPA to combat fraud and abuse in the healthcare.
,✔✔When a minor procedure is preformed in the office, what is the documentation for
the office visit.
a. A formal operative report must be documented
b. A reference to the operation without detail can be included in the documentation for
the office visit.
c. The detail of the procedure can be included int he documentation for the office visit.
d. The surgery is not required to be documented if it is performed during an evaluation
and management service. - ✔✔c. The detail of the procedure can be included int he
documentation for the office visit.
✔✔When utilizing templates to document in a medical record, what documentation must
be included in the template?
a. All check boxes must be complete whether normal or abnormal
b. Elaboration on abnormal findings
c. The patients height and /or weight to verify there was face to face visit
d. A family history of relevant diseases. - ✔✔b. Elaboration on abnormal findings
✔✔What is identified in the indications portion of an operative note?
a. Specific details about surgery
b. A brief history outlining the medical necessity for the procedure
c.The outcome of the surgical procedure
d. The provider and anesthesiologist performing the surgery. - ✔✔b. A brief history
outlining the medical necessity for the procedure
✔✔Which statement is TRUE regarding documenting a minor surgery during an E/M
service?
a. There is no documentation required for minor surgery if it is performed during E/M
service.
b. A separate operative report is required for the minor surgery.
, c. The documentation for the E/M service and the minor surgery can be on the same
page, but are required to be separate paragraphs.
d. The operative report can be included in the documentation for the E/M visit and is not
required to be separate. - ✔✔d. The operative report can be included in the
documentation for the E/M visit and is not required to be separate.
✔✔What program was established by HIPPA to combat fraud and abuse committed
against all health plans, both public and private?
a. Health and Human Services Fraud Prevention Program
b. Compliance Program
c. OIG HEAT
d. Health Care Fraud and Abuse Control Program - ✔✔d. Health Care Fraud and Abuse
Control Program
✔✔What is informed consent?
a. A way to indicate that a discussion between the patient and the provider took place
about a patient's condition and the treatment options available, to allow the patient an
opportunity to ask question and make an informed choice on his or her plan of treatment
.
b. An agreement to allow the provider to inform other patients about a specific patients
condition.
c. A way for the provider to indicate that he or she has communicated his or her wishes
to the patient on a specific treatment plan, and that it is the only option a patient has.
d. Communication between the physician's office staff and the patient relating to the
patient's rights of privacy. - ✔✔a. A way to indicate that a discussion between the
patient and the provider took place about a patient's condition and the treatment options
available, to allow the patient an opportunity to ask question and make an informed
choice on his or her plan of treatment .
✔✔For therapy services, what is the reason for progress note?
a. To indicate services were performed
b. To provide justification for the medical necessity of treatment information.
c. To serve as the plan of care
QUESTIONS AND ANSWERS SURE A+
is not required to dictate his or her own operative report?
a. Primary surgeon
b. Co-surgeon
c. Surgeons in a surgical team
d. Assistant surgeon - ✔✔d. Assistant surgeon
✔✔What is the Health Care Fraud and Abuse Control Program?
a. A program established by HIPPA to combat fraud and abuse in healthcare.
b. A program established by HIPPA to combat fraud and abuse in the healthcare.
c. The OIG's health care fraud prevention and enforcement team.
d. A program established by the OIG to create sample compliance plans. - ✔✔b. A
program established by HIPPA to combat fraud and abuse in the healthcare.
,✔✔When a minor procedure is preformed in the office, what is the documentation for
the office visit.
a. A formal operative report must be documented
b. A reference to the operation without detail can be included in the documentation for
the office visit.
c. The detail of the procedure can be included int he documentation for the office visit.
d. The surgery is not required to be documented if it is performed during an evaluation
and management service. - ✔✔c. The detail of the procedure can be included int he
documentation for the office visit.
✔✔When utilizing templates to document in a medical record, what documentation must
be included in the template?
a. All check boxes must be complete whether normal or abnormal
b. Elaboration on abnormal findings
c. The patients height and /or weight to verify there was face to face visit
d. A family history of relevant diseases. - ✔✔b. Elaboration on abnormal findings
✔✔What is identified in the indications portion of an operative note?
a. Specific details about surgery
b. A brief history outlining the medical necessity for the procedure
c.The outcome of the surgical procedure
d. The provider and anesthesiologist performing the surgery. - ✔✔b. A brief history
outlining the medical necessity for the procedure
✔✔Which statement is TRUE regarding documenting a minor surgery during an E/M
service?
a. There is no documentation required for minor surgery if it is performed during E/M
service.
b. A separate operative report is required for the minor surgery.
, c. The documentation for the E/M service and the minor surgery can be on the same
page, but are required to be separate paragraphs.
d. The operative report can be included in the documentation for the E/M visit and is not
required to be separate. - ✔✔d. The operative report can be included in the
documentation for the E/M visit and is not required to be separate.
✔✔What program was established by HIPPA to combat fraud and abuse committed
against all health plans, both public and private?
a. Health and Human Services Fraud Prevention Program
b. Compliance Program
c. OIG HEAT
d. Health Care Fraud and Abuse Control Program - ✔✔d. Health Care Fraud and Abuse
Control Program
✔✔What is informed consent?
a. A way to indicate that a discussion between the patient and the provider took place
about a patient's condition and the treatment options available, to allow the patient an
opportunity to ask question and make an informed choice on his or her plan of treatment
.
b. An agreement to allow the provider to inform other patients about a specific patients
condition.
c. A way for the provider to indicate that he or she has communicated his or her wishes
to the patient on a specific treatment plan, and that it is the only option a patient has.
d. Communication between the physician's office staff and the patient relating to the
patient's rights of privacy. - ✔✔a. A way to indicate that a discussion between the
patient and the provider took place about a patient's condition and the treatment options
available, to allow the patient an opportunity to ask question and make an informed
choice on his or her plan of treatment .
✔✔For therapy services, what is the reason for progress note?
a. To indicate services were performed
b. To provide justification for the medical necessity of treatment information.
c. To serve as the plan of care
