AAPC Certified Professional Medical Auditor (CPMA) Practice Exam

Question: 1 / 1125

Which of the following is NOT listed as a risk area for physicians in the appendix of the CPG?

Physician billing practices

Unlawful advertising

Quality of patient care

The correct answer, identified as "Quality of patient care," is not listed as a risk area for physicians in the appendix of the Compliance Program Guidance (CPG). The CPG focuses primarily on administrative and financial practices within healthcare settings, specifically areas that might lead to compliance violations or legal issues, rather than directly addressing clinical quality measures.

The other options represent significant risk areas that can impact compliance. For instance, physician billing practices could lead to inappropriate billing or coding errors, making it necessary for physicians to be vigilant in ensuring that billing processes adhere to regulations. Unlawful advertising poses risks concerning false advertising laws and ethical practices within the healthcare industry. The rental of space in physician offices is concerning in the context of the Stark Law and anti-kickback statutes, which regulate financial relationships between healthcare providers to prevent conflicts of interest.

Focusing on the quality of patient care, although critically important for overall health outcomes, often falls outside the purview of compliance risk areas specifically highlighted in the CPG. Compliance programs typically focus on administrative adherence rather than direct clinical practices, thus making "Quality of patient care" the option that does not align with the listed risk areas.

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Rental of space in physician offices

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