Chapter 1 CPMA Exam Prep 2025 Questions and Answers
Chapter 1 CPMA Exam Prep 2025 Questions and Answers
Course:
CPMA
Institution:
CPMA
Chapter 1 CPMA Exam Prep 2025 Questions and Answers
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Uploaded on: | September 4, 2025 |
Last updated: | September 5, 2025 |
Number of pages: | 26 |
Written in: | 2025/2026 |
Type: | Exam (elaborations) |
Contains: | Questions & Answers |
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Chapter 1 CPMA Exam Prep 2025 Questions and Answers 12.1% - ....ANSWER ...-# of improper Medicare Fee-For-Service claim payments, according to Federal Government. FFS - ....ANSWER ...-Fee-For-Service Prepayment Review - ....ANSWER ...-Review of claims prior to payment. Prepayment reviews result in an initial determination. Postpayment Review - ....ANSWER ...-Review of claims after payment. May result in either no change to the initial determination or a revised determination, indicating an underpayment or overpayment. Underpayment - ....ANSWER ...-A payment a provider receives under the amount due for services furnished under the Medicare statute and regulations. Overpayment - ....ANSWER ...-A payment a provider receives over the amount due for services furnished under Medicare statutes and regulations 5 Common reasons for overpayment are: - ....ANSWER ...-*Billing for excessive and subsequent payment of the same service or claim. *Duplicate submission and payment for same service or claim *Payment for excluded or Medically unnecessary services. …FOR STUDENTS ONLY…©️2025 ALL RIGHTS RESERVED… 1