Certified Professional Medical Auditor (CPMA) Practice Test
Build your confidence for Certified Professional Medical Auditor (CPMA). Practice the concepts, understand the answers, and strengthen your knowledge one question at a time.
Try a sample questionExam overview and details
The Certified Professional Medical Auditor (CPMA) Practice Test is a comprehensive assessment designed for medical auditors, coding professionals, compliance officers, and healthcare revenue cycle specialists who seek to validate their expertise in medical auditing. This 140-question exam covers five core domains: Compliance and Regulatory, Diagnostic Services Audit, Evaluation and Management (E/M) Documentation and Audit, Quality Improvement, and Surgical Documentation and Audit. Test-takers will demonstrate proficiency in interpreting federal regulations (e.g., HIPAA, False Claims Act, Stark Law), auditing diagnostic procedures (radiology, laboratory, pathology), applying E/M coding guidelines (including 2021 and 2023 updates), implementing quality improvement methodologies (e.g., PDSA, root cause analysis), and auditing surgical services for accurate coding and documentation. The practice test mirrors the rigor of the actual CPMA certification exam, requiring candidates to analyze real-world scenarios, identify compliance risks, and recommend corrective actions. It is ideal for experienced auditors preparing for certification, coding managers overseeing audit teams, or healthcare professionals transitioning into audit roles. By completing this practice test, users will gain confidence in their ability to detect documentation deficiencies, reduce audit liability, and ensure regulatory adherence, ultimately strengthening their organization's revenue integrity and compliance posture.
Sample Questions
Choose an answer and explore the explanation to see how practice works.
During an audit involving organizing records used for a surgical claim, which finding should be accepted?
A CPMA reviewer is evaluating choosing compliance audit personnel. Which action is correct?
When testing compliance for verifying quality-program conformance, which result is acceptable?
During an audit involving checking laboratory medical necessity, which finding should be accepted?
Which statement correctly describes verifying quality-program conformance?
Career Opportunities & Salary
Exam insights and study advice
In an era of heightened regulatory scrutiny and payer audits, the CPMA credential distinguishes professionals who can proactively safeguard healthcare organizations from financial penalties and legal exposure. This practice test directly translates to real-world impact: auditors who master these topics can reduce claim denials by identifying documentation gaps before submission, defend against RAC and MAC audits with evidence-based findings, and lead quality improvement initiatives that enhance patient care accuracy. The practical value lies in bridging the gap between coding theory and audit execution, ensuring that every audit report you produce is defensible, actionable, and aligned with CMS and OIG expectations.
Recommended
These are the backgrounds the certifying body suggests. Check the vendor's own page for anything it formally requires.
What this exam covers
01Compliance and Regulatory
Focuses on federal fraud and abuse statutes, OIG guidance, and payer regulations. Candidates must recognize kickback risks, self‑referral rules, and exclusion criteria, and apply safe‑harbor provisions during audits to ensure compliance.
02Diagnostic Services Audit
Targets laboratory, radiology, and other diagnostic claims. Candidates must verify that test orders match clinical indications, assess proper use of CPT codes, and detect overutilization or unbundling errors within the billing cycle.
03E/M Documentation and Audit
Focuses on evaluating Evaluation and Management notes for completeness, accuracy, and appropriate level of service. Candidates must assess documentation against coding criteria, identify gaps, and apply correct E/M codes consistently.
04Quality Improvement
Addresses methods for measuring and enhancing care quality through audit data. Candidates learn to develop performance metrics, conduct root‑cause analysis, and implement corrective action plans that align with regulatory expectations.
05Surgical Documentation and Audit
Examines operative reports, postoperative notes, and related records to ensure surgical services are documented and coded correctly. Review of procedure descriptions, implant tracking, and compliance with surgical coding standards is required.