CPMA Practice Test C Questions And
Answers
When auditing an ENT practice, you discover the practice uses an EMR. Which of the following
options would you look for when reviewing documents created in the electronic medical record
or notes created using templates that may be indicators of misuse? Complete medical
histories on each visit, diagnosis driven by clinical picture, repetitious notes not relevant to
presenting problem
State law will take precedence over HIPAA under which of the following circumstances If
HIPAA is less restrictive than state law
When providing a prescription for a patient, the education of the patient (including side effects
and supporting
documentation) in the medical record that the information was reviewed is based on which of the
following standards? Joint Commission standards
A deliberate misrepresentation of facts to gain unauthorized benefits is the definition of
Fraud
, CPMA Practice Test C Questions And
Answers
What is an action resulting in unnecessary costs, whether directly or indirectly, to a federal
healthcare plan considered? Abuse
When responding to a subpoena for medical records, which of the following documents would
likely NOT be required to be copied and submitted: Signed authorization for release of
information
Dr. Black receives a demand letter from the OIG stating the sanctions are sought under CMP for
claims submitted by Dr. Black. He asks you, his auditor, to review the letter and the claims that
are under scrutiny. It is determined that Dr. Black should not agree with the demand letter. You
recommend that Dr. Black: Request a hearing before an HHS administrative court judge
An effective compliance plan attributes to which of the following: Better informed
employees
Reduced risk of criminal sanctions, or civil penalties
Effective operations and increased compliance with both federal and state laws
A physician asks you, her auditor, what the specific difference is between 1995 and 1997
versions of documentation guidelines. Your response would be: Exam elements
Answers
When auditing an ENT practice, you discover the practice uses an EMR. Which of the following
options would you look for when reviewing documents created in the electronic medical record
or notes created using templates that may be indicators of misuse? Complete medical
histories on each visit, diagnosis driven by clinical picture, repetitious notes not relevant to
presenting problem
State law will take precedence over HIPAA under which of the following circumstances If
HIPAA is less restrictive than state law
When providing a prescription for a patient, the education of the patient (including side effects
and supporting
documentation) in the medical record that the information was reviewed is based on which of the
following standards? Joint Commission standards
A deliberate misrepresentation of facts to gain unauthorized benefits is the definition of
Fraud
, CPMA Practice Test C Questions And
Answers
What is an action resulting in unnecessary costs, whether directly or indirectly, to a federal
healthcare plan considered? Abuse
When responding to a subpoena for medical records, which of the following documents would
likely NOT be required to be copied and submitted: Signed authorization for release of
information
Dr. Black receives a demand letter from the OIG stating the sanctions are sought under CMP for
claims submitted by Dr. Black. He asks you, his auditor, to review the letter and the claims that
are under scrutiny. It is determined that Dr. Black should not agree with the demand letter. You
recommend that Dr. Black: Request a hearing before an HHS administrative court judge
An effective compliance plan attributes to which of the following: Better informed
employees
Reduced risk of criminal sanctions, or civil penalties
Effective operations and increased compliance with both federal and state laws
A physician asks you, her auditor, what the specific difference is between 1995 and 1997
versions of documentation guidelines. Your response would be: Exam elements
