Free Certified Professional Medical Auditor (CPMA) Exam Questions and Answers
Certified Professional Medical Auditor (CPMA) is part of AAPC coding credentials. AAPC credentials certify coding accuracy against the current CPT, ICD-10-CM and HCPCS Level II code sets, and the exams are open book — three current-year manuals, one of each.
The first 10 questions on this page are free to read, answers included — no account and no card. A plan opens the rest of the bank, the full timed practice test and your weak-topic reporting.
Last updated: September 15, 2026
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Question #1
In a medical audit, which of the following is the primary focus?
Please select an optionIncorrectCorrect answer: B
Medical audits primarily focus on reviewing documentation to ensure compliance and accuracy in billing and coding.
Was this answer correct?Question #2
Which code set is used to report a diagnostic mammogram?
Please select an optionIncorrectCorrect answer: A
CPT code 77067 is specifically used to report a diagnostic mammogram.
Was this answer correct?Question #3
An audit reveals multiple overutilizations of high-risk medications. What action should be taken?
Please select an optionIncorrectCorrect answer: C
Providing training is essential to educate the medical staff on appropriate medication use and risks associated with high-risk medications.
Was this answer correct?Question #4
During an audit, a pattern of billing for a higher level service than documented is found. What should be the auditor's course of action?
Please select an optionIncorrectCorrect answer: D
The auditor must report these findings to compliance since they indicate potential fraud or abuse in billing practices.
Was this answer correct?Question #5
A patient visits an office for a follow-up. Which documentation is crucial for proper billing?
Please select an optionIncorrectCorrect answer: C
Previous visit notes are crucial to ensure that all necessary information is documented for the follow-up visit and to support billing for the visit itself.
Was this answer correct?Question #6
In assessing coding accuracy, which of the following is most important?
Please select an optionIncorrectCorrect answer: D
Clarity in documentation ensures that the coding process accurately reflects the services provided, which is critical for compliance and reimbursement.
Was this answer correct?Question #7
What is one common reason for claim denials?
Please select an optionIncorrectCorrect answer: D
Incorrect patient information is a common reason for claim denials as it can lead to mismatched data between the claim and insurance records.
Was this answer correct?Question #8
Which of the following best describes a 'peer review'?
Please select an optionIncorrectCorrect answer: C
A peer review refers to an examination conducted by fellow physicians to evaluate the quality of care and accuracy in coding and documentation practices.
Was this answer correct?Question #9
What is the primary purpose of the Medicare Recovery Audit Contractor Program?
Please select an optionIncorrectCorrect answer: B
The primary purpose of the Medicare Recovery Audit Contractor (RAC) Program is to identify and prevent fraud and abuse in Medicare billing and reimbursement.
Was this answer correct?Question #10
A provider is consistently coding a service with the highest complexity. What should an auditor investigate further?
Please select an optionIncorrectCorrect answer: C
The auditor should investigate the medical necessity of these claims, as consistent high-level coding may indicate upcoding or lack of supporting documentation.
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Other AAPC certifications
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FAQ
Learn More: https://www.aapc.com/certifications
- Q1: What is the Certified Professional Medical Auditor (CPMA) exam?
- A: Certified Professional Medical Auditor (CPMA) is a AAPC certification exam. Judging by the questions in our bank, it concentrates on auditor, coding, healthcare, medical and patient.
- Q2: What topics does the Certified Professional Medical Auditor (CPMA) exam cover?
- A: Questions in our Certified Professional Medical Auditor (CPMA) bank cluster around auditor, coding, healthcare, medical, patient, billing, codes and claim. Working through the full set is the quickest way to find which of these you are weakest on.
- Q3: How should I prepare for Certified Professional Medical Auditor (CPMA)?
- A: Work through the Certified Professional Medical Auditor (CPMA) practice questions here, checking your answer on each one, then sit the practice test to rehearse the exam under timed conditions before the real thing.
- Q4: Are these real Certified Professional Medical Auditor (CPMA) exam questions?
- A: They are drawn from officially released past questions and from community members who have sat Certified Professional Medical Auditor (CPMA). Answers are verified and updated weekly.
- Q5: Where do I register for the Certified Professional Medical Auditor (CPMA) exam?
- A: Register through AAPC directly at https://www.aapc.com/certifications. Exampractice is not affiliated with AAPC and does not administer the exam.
- Q6: Is there a free Certified Professional Medical Auditor (CPMA) sample?
- A: Yes. Every Certified Professional Medical Auditor (CPMA) page shows a free sample of real questions. Upgrading opens the full bank and the practice test.
- Q7: What are AAPC Certification Exams?
- A: AAPC (American Academy of Professional Coders) Certification Exams validate your expertise in medical coding, billing, auditing, compliance, and practice management within the healthcare industry.
- Q8: Why should I pursue AAPC Certification?
- A: AAPC Certification enhances your professional credibility, demonstrating your skills and knowledge in medical coding and healthcare administration. This can lead to better job opportunities, higher salaries, and career advancement.
- Q9: What are the benefits of AAPC Certification?
- A: Benefits include recognition of your expertise, improved job performance, access to exclusive resources, continuing education opportunities, and staying current with the latest industry standards and practices.
- Q10: Who should take AAPC Certification Exams?
- A: Medical coders, billers, auditors, compliance officers, and healthcare administrators should consider these certifications to validate their skills and advance their careers in the healthcare industry.
- Q11: What types of AAPC Certification Exams are available?
- A: AAPC offers various certification paths, including Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Inpatient Coder (CIC), and many specialty certifications tailored to specific healthcare roles and expertise levels.
- Q12: How do I prepare for AAPC Certification Exams?
- A: Preparation can include official AAPC training courses, study guides, practice exams, and hands-on experience in medical coding and healthcare management.
- Q13: Where can I take AAPC Certification Exams?
- A: AAPC Certification Exams can be taken at authorized testing centers worldwide or online, providing flexibility to fit your schedule and location.
- Q14: How do AAPC Certifications impact my career?
- A: AAPC Certifications significantly boost your career by demonstrating your expertise to employers, making you a more competitive candidate for advanced roles and promotions in the healthcare industry.
- Q15: Are there any prerequisites for AAPC Certification Exams?
- A: Some exams may have prerequisites, such as foundational knowledge or prior certifications. Check the specific requirements for each certification path on the AAPC website.
- Q16: How often do I need to recertify for AAPC Certifications?
- A: AAPC Certifications typically require continuing education units (CEUs) and recertification every two years to ensure that certified professionals stay updated with the latest industry standards and practices.