CPMA practice exam A questions and answers 100% verified.

CPMA practice exam A questions and answers 100% verified. SOAP - correct answers.Subjective, Objective, Assessment, Plan CHEDDAR - correct answers.Chief complaint, Hx, Exam, Details of problem/complaint, Drugs & dosages, Assessment, Return visit Subjective - correct answers.Pt complaint Objective - correct answers.Provider observation Assessment - correct answers.Medical Dx Plan - correct answers.Treatment You are performing an audit of e/m services for a FP office. In the encounter you read the physician ordered and reviewed a differential WBC. What elements would you expect to see in the medical records? - correct answers.Patient ID, assignment of benefits, pt's medical hx, immunizations, physical examination, lab report, clinical impression & physician orders. When labs are ordered, there must be a copy of the order and the lab report that the physician has reviewed. What is the minimum requirement for the signature of the author of an entry in the medical records? - correct answers.The first initial, last name and credentials Based on JCAHO accreditation guidance for personal data, what two elements must be evident in the medical records? - correct answers.Personal biographical data and consent for Treatment or authorization for Treatment form. What is a comprehensive/focus review audit? - correct answers.A large number of claims are selected for review that might be focused on specific procedure and/or dx codes What is RAT-STATS used for by an auditor? - correct answers.Software used in performing statistical random samples and evaluating results. The Stark Statute applies to who and states what? - correct answers.Applies to government payers. States the provider cannot refer pts to a health care facility where they or immediate family members has a financial relationship. What are the recommended number of charts to audit per provider and the minimum frequency of the audit? - correct answers.10 records per provider each year. When can a RAC extrapolate the overpayment(s) on claim? - correct answers.If a RAC can demonstrate a high level of error, the RAC can then extrapolate the findings and request a refund. Patients can request copies of disclosure of PHI under HIPAA for how long? - correct answers.A six year period of time. What are the civil monetary penalties for false or fraudulent claims? - correct answers.Up to 11,000 per claim and three times the amount improperly claimed. The Claims Review procedure requires a full sample of 50 sampling units be randomly selected for review when the net financial error rate reaches what % - correct answers.5% Recovery Audit Contractor (RAC) Audit - correct answers.Is a kind of audit that aims to migrate overpayments to providers. National Committee for Quality Assurance (NCLA) - correct answers.Is a private not-for-profit organization in the US which is dedicated to improving health care quality.