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

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Case 002 (Statistical Extrapolation): In a compliance committee meeting, audit results are being translated into corrective action. Leadership asks whether sample findings can be projected across the full claim universe. What is required first?

Extrapolate any targeted sample as long as error severity seems high. Project findings only when at least one provider disputes the audit. Confirm statistically valid sampling methods and documented assumptions before extrapolating results. Avoid documenting assumptions because projections are inherently estimates.

Correct Answer:

Confirm statistically valid sampling methods and documented assumptions before extrapolating results.

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