NEWEST 2026/2027 TEST
BANK|CERTIFIED PROFESSIONAL
MEDICAL AUDITOR EXAM PREP WITH
COMPLETE 50 REAL EXAM
QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+
(BRAND NEW!!)
Whatmelementsmmustmbeminmammedicalmrecordm-
mCORRECTmANSWERmPatientmID,mAssignmentmofmBenefits,mmedicalmhistory,mimmunizations,mphysi
calmexam,mlabmreport,mclinicalmimpression,mphysicianmorders
Whatmismthemminimummsignaturemassignmentmofmthemauthormofmentryminmthemmedicalmrecord?m-
mCORRECTmANSWERmFirstminitial,mLastmNamemandmcredentials
BasedmonmthemJCmaccreditationmguidelinesmformpersonalmdata,mwhatm2melementsmmustmbemevident
minmthemmedicalmrecord?m-
mCORRECTmANSWERmTheremmustmbemampatientminformationmsheetmthatmcontainsmbiographicalmda
ta,mname,maddress,metc.malongmwithmauthorizationmformtreatmentmwhethermitmismanmofficemvisit,mdi
agnosticmservicesmormsurgicalmprocedure.
WhatmismthemappropriatemwaymtomdisposemofmPHImthatmismnomlongermneeded?m-
mCORRECTmANSWERmDiscardmitminmamlockedmshreddingmreceptacle
WhenmmustmABNsmbemsigned?m-
mCORRECTmANSWERmFarmenoughminmadvancemthatmthembeneficiarymormrepresentativemhasmtimemt
omconsidermthemoptionsmandmmakemanminformedmdecision.
, SOAPmandmCHEDDARmaremtwomformatsmofmmedicalmrecordmdocumentation.mWhichmsectionmofmeac
hmformatmwouldmyoumfindmthempatient'smhistory?m-
mCORRECTmANSWERmSminmSOAPmandmHminmCHEDDAR
PatientsmcanmrequestmcopiesmofmdisclosuremofmPHImundermHIPAA:m-
mCORRECTmANSWERmFormamsixm(6)myearmperiodmofmtime
WhenmcanmamRACmextrapolatemthemoverpayment(s)monmclaims?m-
mCORRECTmANSWERmIfmamRACmcanmdemonstratemamhighmlevelmofmerror,mthemRACmcanmthenmextrap
olatemthemfindingsmandmrequestmamrefund.
Example:mColumnm1mCode/Columnm2mCodem45385/45380mCPTmCodem45385m-
mColonoscopy,mflexible,mproximalmtomsplenicmflexure;mwithmremovalmofmtumor(s),mpolyp(s),mormoth
ermlesion(s)mbymsnaremtechniquemCPTmCodem45380m-
mColonoscopy,mflexible,mproximalmtomsplenicmflexure;mwithmbiopsy,msinglemormmultiplemPolicy:mMor
emextensivemproceduremModifierm-59mis:m-
mCORRECTmANSWERmOnlymappropriatemifmthemtwomproceduresmaremperformedmonmseparatemlesio
nsmormatmseparatempatientmencounters.
Ismreportingm14000mwithm11401munbundling?m-
mCORRECTmANSWERmYesmaccordingmtomCPTmguidelinesmthemexcisionmofmambenignmlesionmormmalign
antmlesionmismnotmseparatelymreportable.
CommercialmandmGovernmentmcarriersmauditmmedicalmrecords.mSelectmthemstatementmthatmismTRU
Emregardingmcommercialmandmgovernmentmcarriers.m-
mCORRECTmANSWERmCommercialmcarriersmandmGovernmentmcarriersmbothmusemclaimsmdatamtomid
entifymprovidersmandmservicesmtomaudit.
Amcomprehensivemauditmis:m-
mCORRECTmANSWERmsometimesmreferredmtomasmamfocusedmreview,mismanmauditmofmamspecifiedmnu