CPMA Chapter 6 Review Questions and Answers 100% Solved

CPMA Chapter 6 Review Questions and Answers 100% Solved What is the reason audit findings should be discussed with the provider audited? To provide a risk analysis, identify problem areas, and recommend corrective action with supporting documentation What type of information can be found In The providers contract with the insurance carrier? The providers obligation to follow the insurance company's medical policies What type of insurance plans may require an auditor to identify non-standard coding and reimbursement rules? Auto and workers compensation When there is a conflict between CMS Internet Only Manuel's and federal regulations, which provisions take precedence? Regulatory provisions Under the reverse false claims provisions of the False Claims Act, what must be understood by an auditor? Declaring an audit error without binding standards inappropriately exposes the audited provider to FCA liability In an audit report, what should be included in the background component? Identify of the entity, provider being audited, audit objectives, type of audit, scope of audit, and identity and qualifications of the auditor should be detailed