Cpma Exam Questions and Answers
Graded A+
When non-compliance is identified, what does the OIG recommended?
a .Take disciplinary action and document the date of the incident, name of the
reporting party, name of the person responsible for taking action, and the follow-up
action taken.
b. Take disciplinary action and document the date of the incident, name of the
reporting party, name of the person responsible for taking action,and the follow-up
action taken.
c. Immediately terminate employment for the party found in non-
compliance,regardless of the severity of the offense,document the date of the
termination,file a corrected claim on all claims affected.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,d. Continue to watch the employee in non-compliance until the incidents meet a
federal level before taking action. - Correct answer-b. Take disciplinary action and
document the date of the incident, name of the reporting party, name of the person
responsible for taking action,and the follow-up action taken
A provider consistently charges a higher level E/M service than is documented to
help cover the cost of his declining practice. Would this be fraud or abuse Why?
a. Abuse,charging one level higher on each visits does not show intent.
b. Abuse; the provider's practice is common and therefore would not be considered
fraudulent .
c. Fraud; and over-coding of services would be considered fraudulent.
d. Fraud; the provider intentionally over-coded to gain financially. - Correct
answer-d. Fraud; the provider intentionally over-coded to gain financially.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
,The OIG lists potential risk areas for individual and small physician groups in the
compliance plan guidance. Which option below is listed as a risk area?
a. Unbundling
b. Under Coding
c. Overuse of E/M codes
d. Failure to follow the "same day" rule - Correct answer-a. Unbundling
The FCA allows for reduced penalties if the person in violation self-discloses if
which conditions exist?
a. The person furnishes all information about the violation with in 30 days after
which the defendant first obtained the information.
b. The person fully cooperates with the investigation.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
, c. There is no additional criminal prosecution, civil action, or administrated action
with the respect to the violation.
d. All of the above - Correct answer-d. All of the above
What is a Qui Tam Relator?
a. a person who is prosecuted under FCA.
b. The defendant in a Stark Law case.
c. a person listed on the OIG exclusions list.
d. a person who brings civil action for violation under the FCA for themselves and
the government. - Correct answer-d. a person who brings civil action for violation
under the FCA for themselves and the government.
What is CoP?
©COPYRIGHT 2025, ALL RIGHTS RESERVED 4
Graded A+
When non-compliance is identified, what does the OIG recommended?
a .Take disciplinary action and document the date of the incident, name of the
reporting party, name of the person responsible for taking action, and the follow-up
action taken.
b. Take disciplinary action and document the date of the incident, name of the
reporting party, name of the person responsible for taking action,and the follow-up
action taken.
c. Immediately terminate employment for the party found in non-
compliance,regardless of the severity of the offense,document the date of the
termination,file a corrected claim on all claims affected.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,d. Continue to watch the employee in non-compliance until the incidents meet a
federal level before taking action. - Correct answer-b. Take disciplinary action and
document the date of the incident, name of the reporting party, name of the person
responsible for taking action,and the follow-up action taken
A provider consistently charges a higher level E/M service than is documented to
help cover the cost of his declining practice. Would this be fraud or abuse Why?
a. Abuse,charging one level higher on each visits does not show intent.
b. Abuse; the provider's practice is common and therefore would not be considered
fraudulent .
c. Fraud; and over-coding of services would be considered fraudulent.
d. Fraud; the provider intentionally over-coded to gain financially. - Correct
answer-d. Fraud; the provider intentionally over-coded to gain financially.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
,The OIG lists potential risk areas for individual and small physician groups in the
compliance plan guidance. Which option below is listed as a risk area?
a. Unbundling
b. Under Coding
c. Overuse of E/M codes
d. Failure to follow the "same day" rule - Correct answer-a. Unbundling
The FCA allows for reduced penalties if the person in violation self-discloses if
which conditions exist?
a. The person furnishes all information about the violation with in 30 days after
which the defendant first obtained the information.
b. The person fully cooperates with the investigation.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
, c. There is no additional criminal prosecution, civil action, or administrated action
with the respect to the violation.
d. All of the above - Correct answer-d. All of the above
What is a Qui Tam Relator?
a. a person who is prosecuted under FCA.
b. The defendant in a Stark Law case.
c. a person listed on the OIG exclusions list.
d. a person who brings civil action for violation under the FCA for themselves and
the government. - Correct answer-d. a person who brings civil action for violation
under the FCA for themselves and the government.
What is CoP?
©COPYRIGHT 2025, ALL RIGHTS RESERVED 4
