CPMA STUDY QUESTIONS AND ANSWERS 100% SOLVED

CPMA STUDY QUESTIONS AND ANSWERS 100% SOLVED WHAT IS THE IMPORTANCE OF AUDIT IN A PRACTICE?1. Reviewing quality of care provided to patients. 2. Educating providers on documentation. 3. Ensuring all services are supported and all appropriate revenue is captured. 4. Defending against external audit malpractice litigation and health plan request and denial. Exclusion Statute1.Physician is banned from participating in any federal or state healthcare program by OIG 2. They can't bill federal or state for any services provided .3 length: host less than five years .4 When exclusionary period has ended dr must apply for reinstatement and receive authorize notice from OIG that reinstate has been granted AbuseIn action resulting in unnecessary cost to a federal healthcare program either directly or indirectly What is the civil penaltyNot less than 5000 and not more than 10,000 per claim x3 times the amount of government damages Federal False Claims ActHaving knowledge that claims is fake. .1 knowing and knowingly that a person must act in deliberate ignorance of the truth or falsely of the relevant information or act in a reckless manner of the truth or falsity of the Information Qui Tamwhistleblower