CPMA practice exam A Questions and Correct
Answers | Latest Update
SOAP Ans: Subjective, Objective, Assessment, Plan
CHEDDAR Ans: Chief complaint, Hx, Exam, Details of problem/complaint,
Drugs & dosages, Assessment, Return visit
Subjective Ans: Pt complaint
Objective Ans: Provider observation
Assignment Expert
Assessment Ans: Medical Dx
Plan Ans: Treatment
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You are performing an audit of e/m services for a FP office. In the
encounter you read the physician ordered and reviewed a differential
WBC. What elements would you expect to see in the medical records?
2026
Ans: Patient ID, assignment of benefits, pt's medical hx, immunizations,
physical examination, lab report, clinical impression & physician orders.
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When labs are ordered, there must be a copy of the order and the lab
report that the physician has reviewed.
What is the minimum requirement for the signature of the author of an
entry in the medical records? Ans: The first initial, last name and
credentials
Based on JCAHO accreditation guidance for personal data, what two
elements must be evident in the medical records? Ans: Personal
biographical data and consent for Treatment or authorization for
Treatment form.
What is a comprehensive/focus review audit? Ans: A large number of
claims are selected for review that might be focused on specific
procedure and/or dx codes