Cpma Study Questions And Answers Already Passed 2023

WHAT IS THE IMPORTANCE OF AUDIT IN A PRACTICE? {Ans: } 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.Exclusion Statute {Ans: } 1.Physician is banned from participating in any federal or state healthcare program by OIG 2. 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 grantedAbuse {Ans: } In action resulting in unnecessary cost to a federal healthcare program either directly or indirectlyWhat is the civil penalty {Ans: } Not less than 5000 and not more than 10,000 per claim x3 times the amount of government damagesFederal False Claims Act {Ans: } Having knowledge that claims is fake. .1 knowing and knowingly that a person must act in deliberate ignorance of the truth or falsely of the relevant information or act in a reckless manner of the truth or falsity of the InformationQui Tam {Ans: } whistleblowerwhat percentage is offered