CPMA STUDY QUESTIONS & ANSWERS(RATED A)

WHAT IS THE IMPORTANCE OF AUDIT IN A PRACTICE? - ANSWER 1. Reviewing quality of care provided to patients. 2. Educating providers on documentation. 3. Ensuring all services are supported and all appropriate revenue is captured. 4. Defending against external audit malpractice litigation and health plan request and denial. They can't bill federal or state for any services provided .3 length: host less than five years .4 When exclusionary period has ended dr must apply for reinstatement and receive authorize notice from OIG that reinstate has been granted Abuse - ANSWER In action resulting in unnecessary cost to a federal healthcare program either directly or indirectly What is the civil penalty - ANSWER Not less than 5000 and not more than 10,000 per claim x3 times the amount of government damages Federal False Claims Act - ANSWER Having knowledge