I took and passed the CPMA last year. I felt the exam followed the NAMAS Study Guide exactly so I wasn't surprised by the number of complaince questions, I was caught off guard by the detail they were asking for: very exact numbers and audit techniques. The actual chart audit was the "easiest" part - be sure to read the questions first before taking the time to read the whole dictation. And don't panic about the type of encounter (psych, OB, chemo) - some documentation / billing rules are the same no matter what specialty, right? Good luck!