Cpma Study guides, Class notes & Summaries

CMS Fraud Definition - Answer- Making false statements or misrepresenting facts to obtain an undeserved benefit or payment from a federal healthcare program CMS Abuse Definition - Answer- An action that results in unnecessary costs to a federal healthcare program, either directly or indirectly CMS Examples of Fraud - Answer- Billing for services and/or supplies that you know were not furnished or provided, altering claim forms and/or receipts to receive a higher payment amount, billing a M...

CPMA Compliance and Regulatory Guidelines (Ch 1) Questions with complete solutions

CPMA Exam Prep Chapter 1 – Questions And Answers

Cpma exam questions with correct answers

CPMA Exam with correct Answers

CPMA Exam Questions and Answers

CPMA Exam with correct Answers

CPMA Exam Questions with Correct Answers 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 emp...

CPMA Practice Test – Questions/Solutions (Rated A+)

B. If documentation supports the service, have the staff contact the carrier to reprocess the claims. Code 33010 was valid for the date of service billed. Rationale: The effective dates of codes are date of service driven. New CPT® codes become effective January 1st of every year. When auditing, verify codes based on the codes that were valid during the date of service. - Answer- In February 2020, an auditor is asked to review 10 records for date of service 12/1/2019 to make sure the claims we...