CPMA Medical Auditor Practice Questions - AAPC Certified Professional Medical Auditor Exam

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Case 001 (Random vs Targeted Sampling): During a provider audit workpaper review, the auditor must document a defensible finding. You must estimate an overall error rate across a broad provider population. Which sampling approach is strongest?

Select only the highest-dollar claims to maximize repayment findings. Use a statistically appropriate random sample aligned to the audit objective and defined population. Use convenience sampling from whichever records are easiest to retrieve. Pull only previously denied claims because they represent all coding risk.

Correct Answer:

Use a statistically appropriate random sample aligned to the audit objective and defined population.

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