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CPMA Study Guide with Correctly Solved Answers, Exams of Nursing

A cpma study guide covering medical coding, billing, and compliance. Topics include joint commission requirements, federal regulations, oig overpayments, operative report coding, hipaa, medical record authentication, cms time limits, abns, corporate integrity audits, lcd and cms guidance, claim review reporting, ncci guidelines, denied claims, compliance for practices, modifier usage, and hospital observation services.

Typology: Exams

2024/2025

Available from 10/01/2024

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Download CPMA Study Guide with Correctly Solved Answers and more Exams Nursing in PDF only on Docsity! CPMA STUDY GUIDE WITH CORRECTLY SOLVED ANSWERS. The Joint Commission requires that Factors that Affect Learning must be ascertained for a hospital or hospital owned physician practice when assessing this element what does this include? - Correct Answer-*The patients ability to read, method learning, & understanding. *Any language or physical disabilities *Cultural beliefs. According to Federal regulations how long must report copies and printouts of films, scans, & other radiological image services be kept? - Correct Answer-5 years. At what point would a provider repay overpayments reported on a self- disclosure to the OIG? - Correct Answer-At the conclusion of the OIG inquiry. What is considered essential elements to allow for proper coding of an operative report? - Correct Answer-*the approach *type of anesthesia *location & severity of the wounds repaired. Who is NOT considered a covered entity under HIPAA? - Correct Answer- Health care consultant What entails the proper authentication of an entry in a medical record? - Correct Answer-Legible signature of the author and the date the entry is signed. What is the time limit mandated by CMS for adding a late entry into a medical record? - Correct Answer-There is not a time limit. When should an ABN be signed? - Correct Answer-Prior to performing a procedure that may be denied for lack of medical necessity to a Medicare beneficiary Under a Corporate Integrity Agreement how many charts must be audited to determine the financial error rate? - Correct Answer-50 charts. When using LCD and CMS Program Guidance for a resource for an audit, what should the auditor keep in mind? - Correct Answer-Local carriers follow