CPMA Practice test with complete solutions

CPMA Practice test with complete solutions In evaluation and management services, what does the A stand for in SOAP? What is included in this section? - Correct ️️ Assessment with diagnosis You are performing an audit of evaluation and management services for a family practice office. In the encounter, you read the physician order and reviewed a differential WBC. Which of the following best describes what you would expect to see in the medical record? - Correct ️️ Patient identification, assignment of benefits, patient's medical history, immunizations, physical examination, lab report, clinical impression, and physician orders. What is the minimum signature assignment(s) of the author of an entry in the medical record? - Correct ️️ . The first initial, last name and credentials Based on Joint Commission accreditation guidance for personal data, what two elements must be evident in the medical record: - Correct ️️ Personal biographical data and consent for treatment or authorization for treatment form As an auditor, who of the following would NOT be expected to submit operative notes? - Correct ️️ Surgical assistants What is the appropriate way to dispose of PHI that is no longer needed? - Correct ️️ Discard it in a locked shredding receptacle When must ABNs be signed? - Correct ️️ Far enough in advance that the beneficiary or representative has time to consider the options and make an informed decision SOAP and CHEDDAR are two formats of medical record documentation. Which section of each format would you find the patient's history? - Correct ️️ S in SOAP and H in CHEDDAR Patients can request copies of disclosure of PHI under HIPAA: - Correct ️️ For a six (6) year period of time