CPMA 2026 ACTUAL EXAM TEST(MULTIPLE CHOICES) AND (RATIONALES) QUESTIONS
AND VERIFIED ANSWERS |GET IT 100% ACCURATE!!
The Joint Commission (JC) requires the Factors that Affect Learning must be assessed for a
hospital or hospital owned physician practice as well as other health care facilities. When
assessing this element what does this include?
A. The patient's ability to read, method of learning and understanding.
B. Any language or physical disabilities.
C. Cultural beliefs.
D. All the above - (Correct Answer)-D. All the above
Report copies and printouts, films, scans, and other radio logic service image records must be
retained for how long according to Federal Regulations?
A. 10 years
B. 7 years
C. 5 years
D. 3 years - (Correct Answer)-C. 5 years
At which point should a provider repay over payments reported by self-disclosure to the office of
Inspector General?
A. Make the payment to your carrier immediately.
B. Make the payment at the conclusion of the OIG injury.
C. Make the payment to the carrier prior to the self disclosure.
, 2
D. Make the payment to the OIG with a self disclosure report. - (Correct Answer)-B. Make the
payment at the conclusion of the OIG injury
Which of the following may be considered essential element (s) of an operative report and will
allow for accurate coding?
A. The approach
B. The type of anesthesia required
C. The location and severity of wounds repaired
D. All of the above - (Correct Answer)-D. All of the above
Which of the following is NOT a covered entity under HIPPA?
A. Physician
B. Health Plan
C. Health Care Consultant
D. Physician Assistant - (Correct Answer)-C. Health Care Consultant
When referring to the authentication of a medical record entry, what does this entail?
A. Legible signature of author and date signed
B. A physician's order for ancillary services
C. An original document filed in the record
D. The patient's personal information - (Correct Answer)-A. Legible signature of author and date
signed
, 3
What is the time limit mandated by CMS for adding a late entry to the medical record?
A. One Week
B. One Month
C. One Year
D. No time limit - (Correct Answer)-D. No time limit
When should a ABN be signed?
A. Prior to performing a statutorily excluded procedure for a Medicare beneficiary.
B. Prior to performing a procedure that may be denied due to medical necessity for a Medicare
beneficiary.
C. Prior to submitting a claim to Medicaid for a non- service.
D. After performing a procedure and finding it is denied. - (Correct Answer)-B. Prior to
performing a procedure that may be denied due to medical necessity for a Medicare beneficiary.
Under a Corporate Integrity Agreement (CIA), how many claims must be randomly selected to
review to determine the financial error rate?
A. 15
B. 50
C. 75
D. 100 - (Correct Answer)-B. 50
, 4
When using LCDs and CMS program Guidance as a resource for an audit, what should the
auditor keep in mind?
A. QICs are bound by NCDs, LMRPs, and CMS Program guidance, but ALJs and MACs are not.
B. Local carriers and QICs are bound by LCDs and LMRPs
C. Local carries follow LCDs, LMRPs, and CMS program guidance, but QICs, ALJs, and MACs
are not bound by them.
D. Local Carriers, QICs, ALJs, and MACs are all bound by NCDs and CMS program guidance. -
(Correct Answer)-C. Local carries follow LCDs, LMRPs, and CMS program guidance, but QICs,
ALJs, and MACs are not bound by them.
When reporting the claims review findings under a CIA audit, the Independent Review
Organization (IRO) must provide:
A. A detailed analysis listing the patient files reviewed and findings and previous audit
disclosures for all services
B. A detailed report with a narrative explanation of finding and supporting rationale approved by
the providers attorney.
C. A detailed report with an analysis and narrative explanation with findings and supporting
rationale regarding the claim review, including the results of the discovery or full sample.
D. A list of data reviewed and findings in a narrative form - (Correct Answer)-C. A detailed
report with an analysis and narrative explanation with findings and supporting rationale
regarding the claim review, including the results of the discovery or full sample.
AND VERIFIED ANSWERS |GET IT 100% ACCURATE!!
The Joint Commission (JC) requires the Factors that Affect Learning must be assessed for a
hospital or hospital owned physician practice as well as other health care facilities. When
assessing this element what does this include?
A. The patient's ability to read, method of learning and understanding.
B. Any language or physical disabilities.
C. Cultural beliefs.
D. All the above - (Correct Answer)-D. All the above
Report copies and printouts, films, scans, and other radio logic service image records must be
retained for how long according to Federal Regulations?
A. 10 years
B. 7 years
C. 5 years
D. 3 years - (Correct Answer)-C. 5 years
At which point should a provider repay over payments reported by self-disclosure to the office of
Inspector General?
A. Make the payment to your carrier immediately.
B. Make the payment at the conclusion of the OIG injury.
C. Make the payment to the carrier prior to the self disclosure.
, 2
D. Make the payment to the OIG with a self disclosure report. - (Correct Answer)-B. Make the
payment at the conclusion of the OIG injury
Which of the following may be considered essential element (s) of an operative report and will
allow for accurate coding?
A. The approach
B. The type of anesthesia required
C. The location and severity of wounds repaired
D. All of the above - (Correct Answer)-D. All of the above
Which of the following is NOT a covered entity under HIPPA?
A. Physician
B. Health Plan
C. Health Care Consultant
D. Physician Assistant - (Correct Answer)-C. Health Care Consultant
When referring to the authentication of a medical record entry, what does this entail?
A. Legible signature of author and date signed
B. A physician's order for ancillary services
C. An original document filed in the record
D. The patient's personal information - (Correct Answer)-A. Legible signature of author and date
signed
, 3
What is the time limit mandated by CMS for adding a late entry to the medical record?
A. One Week
B. One Month
C. One Year
D. No time limit - (Correct Answer)-D. No time limit
When should a ABN be signed?
A. Prior to performing a statutorily excluded procedure for a Medicare beneficiary.
B. Prior to performing a procedure that may be denied due to medical necessity for a Medicare
beneficiary.
C. Prior to submitting a claim to Medicaid for a non- service.
D. After performing a procedure and finding it is denied. - (Correct Answer)-B. Prior to
performing a procedure that may be denied due to medical necessity for a Medicare beneficiary.
Under a Corporate Integrity Agreement (CIA), how many claims must be randomly selected to
review to determine the financial error rate?
A. 15
B. 50
C. 75
D. 100 - (Correct Answer)-B. 50
, 4
When using LCDs and CMS program Guidance as a resource for an audit, what should the
auditor keep in mind?
A. QICs are bound by NCDs, LMRPs, and CMS Program guidance, but ALJs and MACs are not.
B. Local carriers and QICs are bound by LCDs and LMRPs
C. Local carries follow LCDs, LMRPs, and CMS program guidance, but QICs, ALJs, and MACs
are not bound by them.
D. Local Carriers, QICs, ALJs, and MACs are all bound by NCDs and CMS program guidance. -
(Correct Answer)-C. Local carries follow LCDs, LMRPs, and CMS program guidance, but QICs,
ALJs, and MACs are not bound by them.
When reporting the claims review findings under a CIA audit, the Independent Review
Organization (IRO) must provide:
A. A detailed analysis listing the patient files reviewed and findings and previous audit
disclosures for all services
B. A detailed report with a narrative explanation of finding and supporting rationale approved by
the providers attorney.
C. A detailed report with an analysis and narrative explanation with findings and supporting
rationale regarding the claim review, including the results of the discovery or full sample.
D. A list of data reviewed and findings in a narrative form - (Correct Answer)-C. A detailed
report with an analysis and narrative explanation with findings and supporting rationale
regarding the claim review, including the results of the discovery or full sample.
