Aapc Cases Cpma Review (100% Error-Free Answers)

Commercial and Government carriers audit medical records. Select the statement that is true regarding commercial and government carriers. {Ans: B. Commercial carriers and Government carriers both use claims data to find locate providers and services to audit.}In preparation for a high volume of patients coming in for chemotherapy, the nurse documents the chemotherapy treatments in advance. The purpose is to speed up the treatment process so patients do not have to wait long. Would this cause concern in an audit? {Ans: Yes, chart entry should not be made in advance of the treatment.}Which type of case is not prosecuted under the federal false claims act? {Ans: A. Physician tax issues}According to the 2017 _________, the OIG will review Medicare Part B payments for prolonged services to determine whether the payments were made according to Medicare requirements. {Ans: B. OIG Work Plan}Which of the following code combinations is an example of unbundling? {Ans: D. 14000, 11401}A comprehensive audit is: {Ans: A. A large number of claims are selected for a review that might be focused on specific procedure and/or diagnosis codes.}You are performing an audit of evaluation and management services for a family practice office.