CPMA EXAM NEWEST ACTUAL EXAM TEST

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CPMA EXAM NEWEST ACTUAL EXAM TEST

BANK| 300 REAL EXAM QUESTIONS AND CORRECT

DETAILED ANSWERS (VERIFIED ANSWERS)

ALREADY GRADED A+| CPMA EXAM REVIEW

||BRAND NEW!!

Which option is considered a material breach of CIA?

• Failure to engage and use an IRO in accordance with the CIA.
• Failure to hire an OIG employee to oversee compliance efforts.
• Failure to hire a full-time internal auditor to review every claim before

it is submitted.

• Failure to fire auditors who do not agree with the provider's coding -

Correct Answer - a. Failure to engage and use an IRO in accordance with the CIA.

What is another name for the Federal False Claims Act?

• Operation Restore Trust
• Kennedy-Kassebaum Law
• Lincoln Law
• Stark Law - Correct Answer - c. Lincoln Law

• Qui Tam Relator may receive what type of award for bringing a case

on which the government intervenes?

• 10-15 percent of the money recovered
• 15-25 percent of the money recovered 1 / 4

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• 10-15 percent of the total claim amount
• 15-25 percent of the total claim amount - Correct Answer - b. 15-25

percent of the money recovered

A corporate Integrity Agreement (CIA ) has seven core elements. Which option is NOT one of the core elements?

• Provider an implementation report and annual reports to OIG on the

status of the entity's compliance activities.

• Hire an OIG employee to oversee the compliance efforts
• Develop written standards and policies
• Restrict employment of ineligible persons. - Correct Answer - b. Hire

an OIG employee to oversee the compliance efforts

Recovery auditors may perform three types of reviews. What review requires medical records?

• Automated
• Semi Automated
• Complex
• Independent - Correct Answer - d. Independent

In NCCI edits, what does modifier indicator zero represent?

• A modifiers is not allowed to bypass the NCCI edits.
• A modifier may be used to bypass the edits if the documentation

supports the modifier.

• Modifiers are not applicable to the edits. 2 / 4

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• The NCCI edits is not in effect. - Correct Answer - a. A modifiers is

not allowed to bypass the NCCI edits

What is the maximum penalty the OIG may seek for fraudulent claims?

• 10,000 per item or service.
• 15,000 per item or service.

c.10,000 per item or service plus three times the amount of over- payments.

• 15,000 per item or service plus three ties the amount of over-

payments. - Correct Answer - c.10,000 per item or service plus three times the amount of over-payments.

The OIG Work Plan is divided into seven parts. Which option is a part of the OIG work plan most applicable to physician?

• Medicare Part A and Part B
• Public Health Reviews
• Human Services Reviews
• Corporate Integrity Agreements - Correct Answer - a. Medicare Part A

and Part B

You Audit provider who is consistently reporting multiple units of CPT code 11042. What references can you use to show the provider multiple units of CPT code 11042 is not allowed and explain how it should be reported ?

• CPT codebook and MUE table.
• CPT codebook and NCCI edits 3 / 4

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• MUE table only
• HCPCS codebook and NCCI edits - Correct Answer - a. CPT

codebook and MUE table

The OIG determines a provider is guilty of submitting 10 fraudulent claims resulting in $25,000 in over payments made to the provider. What is the maximum penalty the OIG may seek?a.$ 75,000

• $100,000
• $125,000
• $175,000 - Correct Answer - d. $175,000

Which governing body is responsible for criminal prosecutions relating to the Privacy Rule?

• Office if Civil Rights
• Secretary of State
• Office of Inspector General
• Department of Justice - Correct Answer - d. Department of Justice

What standard does the Privacy Rule set?

• Pre-existing standards
• Group health standards
• Transaction and code set standards
• Standards for how protected health information is used - Correct

Answer - d. Standards for how protected health information is used

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