American Academy of Professional Coders
AAPC
Certified Professional Medical Auditor (CPMA)®
AAPC Certification Exam
AAPC CPMA Certification Core + Medical Auditing
AAPC CPMA Certification Exam
Course Title and Number: AAPC CPMA Certification Exams
Exam Title: Midterm, Finals, Certification and Assessment
Exam Date: Exam 2025- 2026
Instructor: ____ [Insert Instructor’s Name] _______
Student Name: ___ [Insert Student’s Name] _____
Student ID: ____ [Insert Student ID] _____________
Examination
Time: - ____ Hours: ___ Minutes
Instructions:
1. Read each question carefully and Answer All Questions
2. Use the provided answer sheet to mark your responses.
3. Please Ensure all you answer each question below and click Submit
when you have completed the Exam.
4. This test has a time limit, The test will save and submit automatically
when the time expires
5. This is Exam which will assess your knowledge on the course
Learning Resources.
Good Luck……...!
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AAPC CPMA Certification Comprehensive Exam Review AAPC
Certified Professional Medical Auditor (CPMA)® Exam
Questions and Answers | 100% Pass Guaranteed | Graded A+ |
2025- 2026
AAPC CPMA Certification Exam
Certified Professional Medical Auditor (CPMA)®
AAPC CPMA Certification Core + Medical Auditing
AAPC Certification Exam
American Academy of Professional Coders AAPC.
Read All Instructions Carefully and Answer All the
Questions Correctly Good Luck: -
Amount of civil monetary penalties - =Answer>> Range
from $10,000-$50,000 per violation and an assessment of up to
3 times the amount of the over-payments
Reverse False Claims section of the False Claims Act -
=Answer>> Final section that provides liability where a
person acts improperly to avoid paying money owed to the
government
Examples of fraud/misconduct subject to the False Claims Act -
=Answer>> Falsifying a medical chart notation; submitting
claims for services not performed, not requested, or
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unnecessary; submitting claims for expired drugs; upcoding
and/or unbundling services; submitting claims for physician
services performed by a non-physician provider without regard
to Incident-to guidelines
Exceptions to the Stark Law - =Answer>> General
exceptions to both ownership and compensation arrangement
prohibitions (in-office ancillary services); general exceptions
related only to ownership or investment prohibition for
ownership in publicly traded securities and mutual funds
(services furnished by a rural provider); exceptions related to
other compensation arrangements (personal services
arrangements and rental of office space and equipment)
Office of the Inspector General (OIG) - =Answer>> Detects
and prevents fraud, waste, and abuse and improves efficiency
of HHS programs; most resources are directed toward the
oversight of Medicare and Medicaid, but also extend to the
Centers for Disease Control and Prevention (CDC), National
Institutes of Health (NIH), and the Food and Drug
Administration (FDA)
OIG Work Plan - =Answer>> Published annually; lists the
various projects that will be addressed during the fiscal year by
the Office of Audit Services, Office of Evaluation and
Inspections, Office of Investigations, and Office of Counsel to
the Inspector General; summarizes new and ongoing reviews
and activities that OIG plans to pursue during the next fiscal
year and beyond
Why should an auditor know what is in the OIG Work Plan for
the current year? - =Answer>> It allows an auditor to inform
providers and facilities of services or issues of which to be
especially mindful in the coming year; may be helpful in
forming the scope of an audit for a provider or facility or may
influence recommendations given to a practice
Corporate Integrity Agreements - =Answer>> Required by
the OIG s a condition of not seeking exclusion from
participation when an individual or entity seeks to settle civil
healthcare fraud cases; typically last 5 yrs but can be longer;
most have the same core requirements along with specific
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steps for the individual or entity that are related to the conduct
that led to the settlement
Core requirements in CIAs - =Answer>> Hiring a compliance
officer/appointing a compliance committee; developing written
standards and policies; implementing a comprehensive
employee training program; retaining an independent review
organization (IRO) to conduct annual reviews; establishing a
confidential disclosure program; restricting employment of
ineligible persons; reporting overpayments, reportable events,
and ongoing investigations/legal proceedings; providing an
implementation report and annual reports to the OIG on the
status of the entity's compliance activities
Independent review organization (IRO) - =Answer>> Acts as
a 3rd party medical review resource that provides objective,
unbiased audits and reports
How many sampling units are selected for review in a Discovery
Sample under a CIA? - =Answer>> 50
Purpose of a Discovery Sample - =Answer>> Used to
determine the net financial error rate; if the error rate exceeds
5%, a Full Sample must be reviewed, along with a Systems
Review
What is the name of the statistical sampling program provided
by the OIG to randomly select and determine the size of the
Discovery Sample? - =Answer>> RAT-STATS
What percent of precision and confidence are required to
estimate the overpayment? - =Answer>> 90% confidence
and 25% precision level
Certificate of Compliance Agreement (CCA) - =Answer>>
Require the provider to certify that is will continue to operate
its existing compliance programs and to report to OIG for a
lesser period of time (usually 3 years); introduced in Inspector
General Janet Rehnquist's An Open Letter to Healthcare
Providers in November 2011
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AAPC
Certified Professional Medical Auditor (CPMA)®
AAPC Certification Exam
AAPC CPMA Certification Core + Medical Auditing
AAPC CPMA Certification Exam
Course Title and Number: AAPC CPMA Certification Exams
Exam Title: Midterm, Finals, Certification and Assessment
Exam Date: Exam 2025- 2026
Instructor: ____ [Insert Instructor’s Name] _______
Student Name: ___ [Insert Student’s Name] _____
Student ID: ____ [Insert Student ID] _____________
Examination
Time: - ____ Hours: ___ Minutes
Instructions:
1. Read each question carefully and Answer All Questions
2. Use the provided answer sheet to mark your responses.
3. Please Ensure all you answer each question below and click Submit
when you have completed the Exam.
4. This test has a time limit, The test will save and submit automatically
when the time expires
5. This is Exam which will assess your knowledge on the course
Learning Resources.
Good Luck……...!
📝
Are you Struggling with University Exams or Job Certification
Assessments?? 📌I Got You Covered 💯.!!!
✍I Specialize in Taking the Exam On your Behalf.
💻 Get Professional Exam Assistance with 100% Pass
Guaranteed.⏬ GET STARTED HERE CLICK LINK BELOW ⏬
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, I can Help BYPASS PROCTORED EXAM 📑
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AAPC CPMA Certification Comprehensive Exam Review AAPC
Certified Professional Medical Auditor (CPMA)® Exam
Questions and Answers | 100% Pass Guaranteed | Graded A+ |
2025- 2026
AAPC CPMA Certification Exam
Certified Professional Medical Auditor (CPMA)®
AAPC CPMA Certification Core + Medical Auditing
AAPC Certification Exam
American Academy of Professional Coders AAPC.
Read All Instructions Carefully and Answer All the
Questions Correctly Good Luck: -
Amount of civil monetary penalties - =Answer>> Range
from $10,000-$50,000 per violation and an assessment of up to
3 times the amount of the over-payments
Reverse False Claims section of the False Claims Act -
=Answer>> Final section that provides liability where a
person acts improperly to avoid paying money owed to the
government
Examples of fraud/misconduct subject to the False Claims Act -
=Answer>> Falsifying a medical chart notation; submitting
claims for services not performed, not requested, or
Need Writing 📝Help? We've Got You Covered! ✍️
100% NO A I or Plagiarism Guaranteed🎯
💬 Chat with us here: 📧
, I can Help BYPASS PROCTORED EXAM 📑
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unnecessary; submitting claims for expired drugs; upcoding
and/or unbundling services; submitting claims for physician
services performed by a non-physician provider without regard
to Incident-to guidelines
Exceptions to the Stark Law - =Answer>> General
exceptions to both ownership and compensation arrangement
prohibitions (in-office ancillary services); general exceptions
related only to ownership or investment prohibition for
ownership in publicly traded securities and mutual funds
(services furnished by a rural provider); exceptions related to
other compensation arrangements (personal services
arrangements and rental of office space and equipment)
Office of the Inspector General (OIG) - =Answer>> Detects
and prevents fraud, waste, and abuse and improves efficiency
of HHS programs; most resources are directed toward the
oversight of Medicare and Medicaid, but also extend to the
Centers for Disease Control and Prevention (CDC), National
Institutes of Health (NIH), and the Food and Drug
Administration (FDA)
OIG Work Plan - =Answer>> Published annually; lists the
various projects that will be addressed during the fiscal year by
the Office of Audit Services, Office of Evaluation and
Inspections, Office of Investigations, and Office of Counsel to
the Inspector General; summarizes new and ongoing reviews
and activities that OIG plans to pursue during the next fiscal
year and beyond
Why should an auditor know what is in the OIG Work Plan for
the current year? - =Answer>> It allows an auditor to inform
providers and facilities of services or issues of which to be
especially mindful in the coming year; may be helpful in
forming the scope of an audit for a provider or facility or may
influence recommendations given to a practice
Corporate Integrity Agreements - =Answer>> Required by
the OIG s a condition of not seeking exclusion from
participation when an individual or entity seeks to settle civil
healthcare fraud cases; typically last 5 yrs but can be longer;
most have the same core requirements along with specific
Need Writing 📝Help? We've Got You Covered! ✍️
100% NO A I or Plagiarism Guaranteed🎯
💬 Chat with us here: 📧
, I can Help BYPASS PROCTORED EXAM 📑
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steps for the individual or entity that are related to the conduct
that led to the settlement
Core requirements in CIAs - =Answer>> Hiring a compliance
officer/appointing a compliance committee; developing written
standards and policies; implementing a comprehensive
employee training program; retaining an independent review
organization (IRO) to conduct annual reviews; establishing a
confidential disclosure program; restricting employment of
ineligible persons; reporting overpayments, reportable events,
and ongoing investigations/legal proceedings; providing an
implementation report and annual reports to the OIG on the
status of the entity's compliance activities
Independent review organization (IRO) - =Answer>> Acts as
a 3rd party medical review resource that provides objective,
unbiased audits and reports
How many sampling units are selected for review in a Discovery
Sample under a CIA? - =Answer>> 50
Purpose of a Discovery Sample - =Answer>> Used to
determine the net financial error rate; if the error rate exceeds
5%, a Full Sample must be reviewed, along with a Systems
Review
What is the name of the statistical sampling program provided
by the OIG to randomly select and determine the size of the
Discovery Sample? - =Answer>> RAT-STATS
What percent of precision and confidence are required to
estimate the overpayment? - =Answer>> 90% confidence
and 25% precision level
Certificate of Compliance Agreement (CCA) - =Answer>>
Require the provider to certify that is will continue to operate
its existing compliance programs and to report to OIG for a
lesser period of time (usually 3 years); introduced in Inspector
General Janet Rehnquist's An Open Letter to Healthcare
Providers in November 2011
Need Writing 📝Help? We've Got You Covered! ✍️
100% NO A I or Plagiarism Guaranteed🎯
💬 Chat with us here: 📧
