CPMA PRACTICE TEST B QUESTIONS
& SOLUTIONS
Evaluation and Management documentation is often captured in SOAP format, which is
the acronym for: - ANSWERSubjective, Objective, Assessment, Plan
Failure to have which of the following forms in the medical record will result in payment
sent to the beneficiary? - ANSWERAssignment of benefits form
Prior to undergoing a specific medical intervention, the law requires the provider to
obtain an informed consent for treatment signed by the patient. In addition to the nature
or purpose of the treatment and risks and benefits involved, the informed consent must
include which of the following information? - ANSWERAlternative treatment options and
the risks and benefits of alternative treatment options
Outpatient physical therapy services cannot be initiated until: - ANSWERan initial plan
of care has been established
When auditing operative reports, the header describing the procedure - ANSWERmay
not fully support the procedure documented in the body of the report.
The manager of a small physician's practice who is also the compliance officer, contacts
you an auditor, stating that a
coding and billing violation has been identified by the billing department manager. You
advise the compliance officer to
document which of the following in the practice's compliance file: - ANSWERdate of
incident, name of reporting party, name of person responsible for taking action, followup
action taken
According to CPT coding guidelines for inpatient consultation services, which statement
is correct? - ANSWEROnly one consultation is reported by the consultant per hospital
admission
An audit performed on one provider would be considered a: - ANSWERFocused audit
When performing a retrospective audit, the auditor will need to have which of the
following materials? - ANSWERMedical record, audit form, coding manuals, EOB or
Medicare RA, payer policies and CMS-1500 form
A sample is gathered of the CPT®/HCPCS codes that have the highest dollar charges.
This would be considered which
type of sampling? - ANSWERProportional
& SOLUTIONS
Evaluation and Management documentation is often captured in SOAP format, which is
the acronym for: - ANSWERSubjective, Objective, Assessment, Plan
Failure to have which of the following forms in the medical record will result in payment
sent to the beneficiary? - ANSWERAssignment of benefits form
Prior to undergoing a specific medical intervention, the law requires the provider to
obtain an informed consent for treatment signed by the patient. In addition to the nature
or purpose of the treatment and risks and benefits involved, the informed consent must
include which of the following information? - ANSWERAlternative treatment options and
the risks and benefits of alternative treatment options
Outpatient physical therapy services cannot be initiated until: - ANSWERan initial plan
of care has been established
When auditing operative reports, the header describing the procedure - ANSWERmay
not fully support the procedure documented in the body of the report.
The manager of a small physician's practice who is also the compliance officer, contacts
you an auditor, stating that a
coding and billing violation has been identified by the billing department manager. You
advise the compliance officer to
document which of the following in the practice's compliance file: - ANSWERdate of
incident, name of reporting party, name of person responsible for taking action, followup
action taken
According to CPT coding guidelines for inpatient consultation services, which statement
is correct? - ANSWEROnly one consultation is reported by the consultant per hospital
admission
An audit performed on one provider would be considered a: - ANSWERFocused audit
When performing a retrospective audit, the auditor will need to have which of the
following materials? - ANSWERMedical record, audit form, coding manuals, EOB or
Medicare RA, payer policies and CMS-1500 form
A sample is gathered of the CPT®/HCPCS codes that have the highest dollar charges.
This would be considered which
type of sampling? - ANSWERProportional
