CPMA EXAM NEWEST 2026 PACKAGE DEAL|
DIFFERENT VERSIONS WITH COMPLETE 800 REAL
EXAM QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+| CPMA
FINAL EXAM PREP 2026/2027 (BRAND NEW!!)
1. What is the difference between fraud and abuse according
to CMS definitions?
A. Fraud involves unintentional errors; abuse involves intentional
deception
B. Fraud involves knowingly misrepresenting facts to obtain
payment; abuse results in unnecessary costs without intent
C. There is no legal difference; the terms are interchangeable
D. Fraud applies only to Medicare; abuse applies only to
Medicaid
1
,Answer: B – Fraud involves knowingly misrepresenting facts
to obtain payment; abuse results in unnecessary costs without
intent
Rationale: CMS defines fraud as making false statements or
misrepresenting facts knowingly to obtain an undeserved benefit.
Abuse is defined as actions that result in unnecessary costs to a
federal healthcare program, either directly or indirectly, without the
knowledge/intent element of fraud .
2. Which of the following is an example of CMS-defined
fraud?
A. Misusing codes on a claim
B. Billing for services not medically necessary
C. Billing for services that were not furnished
D. Failure to maintain adequate medical records
Answer: C – Billing for services that were not furnished
Rationale: CMS examples of fraud include billing for
2
,services/supplies known not to be furnished, altering claim forms
for higher payment, billing for higher level services than provided,
and misrepresenting diagnoses. Misusing codes, unnecessary
services, and poor records constitute abuse, not fraud .
3. What is the penalty range under the current False Claims
Act (FCA) per false claim?
A. 1,000–5,000
B. 5,500–11,000
C. 10,000–20,000
D. 50,000–100,000
Answer: B – 5,500–11,000 per claim
Rationale: The False Claims Act imposes penalties ranging
from 5,500𝑡𝑜11,000 per false claim, plus treble damages (three
times the amount of damages sustained). These penalties are
adjusted periodically for inflation .
3
, 4. Under the False Claims Act, a person may be liable if they
knowingly present a false claim. What does "knowingly"
include?
A. Only actual knowledge of falsity
B. Deliberate ignorance or reckless disregard of truth or falsity
C. Only willful intent to defraud
D. Negligent billing errors
Answer: B – Deliberate ignorance or reckless disregard of truth
or falsity
Rationale: The FCA defines "knowingly" to include actual
knowledge, deliberate ignorance of the truth or falsity of the
information, and reckless disregard of the truth or falsity. No
specific intent to defraud is required .
5. The False Claims Act allows for reduced penalties if certain
conditions exist. These conditions include:
A. The person self-discloses within 30 days of obtaining violation
4
DIFFERENT VERSIONS WITH COMPLETE 800 REAL
EXAM QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+| CPMA
FINAL EXAM PREP 2026/2027 (BRAND NEW!!)
1. What is the difference between fraud and abuse according
to CMS definitions?
A. Fraud involves unintentional errors; abuse involves intentional
deception
B. Fraud involves knowingly misrepresenting facts to obtain
payment; abuse results in unnecessary costs without intent
C. There is no legal difference; the terms are interchangeable
D. Fraud applies only to Medicare; abuse applies only to
Medicaid
1
,Answer: B – Fraud involves knowingly misrepresenting facts
to obtain payment; abuse results in unnecessary costs without
intent
Rationale: CMS defines fraud as making false statements or
misrepresenting facts knowingly to obtain an undeserved benefit.
Abuse is defined as actions that result in unnecessary costs to a
federal healthcare program, either directly or indirectly, without the
knowledge/intent element of fraud .
2. Which of the following is an example of CMS-defined
fraud?
A. Misusing codes on a claim
B. Billing for services not medically necessary
C. Billing for services that were not furnished
D. Failure to maintain adequate medical records
Answer: C – Billing for services that were not furnished
Rationale: CMS examples of fraud include billing for
2
,services/supplies known not to be furnished, altering claim forms
for higher payment, billing for higher level services than provided,
and misrepresenting diagnoses. Misusing codes, unnecessary
services, and poor records constitute abuse, not fraud .
3. What is the penalty range under the current False Claims
Act (FCA) per false claim?
A. 1,000–5,000
B. 5,500–11,000
C. 10,000–20,000
D. 50,000–100,000
Answer: B – 5,500–11,000 per claim
Rationale: The False Claims Act imposes penalties ranging
from 5,500𝑡𝑜11,000 per false claim, plus treble damages (three
times the amount of damages sustained). These penalties are
adjusted periodically for inflation .
3
, 4. Under the False Claims Act, a person may be liable if they
knowingly present a false claim. What does "knowingly"
include?
A. Only actual knowledge of falsity
B. Deliberate ignorance or reckless disregard of truth or falsity
C. Only willful intent to defraud
D. Negligent billing errors
Answer: B – Deliberate ignorance or reckless disregard of truth
or falsity
Rationale: The FCA defines "knowingly" to include actual
knowledge, deliberate ignorance of the truth or falsity of the
information, and reckless disregard of the truth or falsity. No
specific intent to defraud is required .
5. The False Claims Act allows for reduced penalties if certain
conditions exist. These conditions include:
A. The person self-discloses within 30 days of obtaining violation
4
