CMAA
Settings
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- 1.What action is expected from the patient at the time of their visit?
- A.
Copy of insurance
- B.
Valid state id
- C.
Payment/co-pay
- D.
All of the above
- 2.Making copies of insurance cards is part of what process?
- A.
Check in process
- B.
After seeing the doctor
- C.
Before leaving
- D.
None of the above
- 3.Why would a patient sign an assignment of benefits form?
- A.
For his/her personal use
- B.
For the physician
- C.
So the insurance will pay directly to the provider
- D.
So the patient knows what he has to pay
- 4.What is the Workman's Comp an example of?
- A.
Third Party Payer
- B.
First Party Payer
- C.
Insurance Policy
- D.
Second Party Payer
- 5.What does CEU stand for and why is it necessary?
- A.
Continuing Education Units/for certifications
- B.
Continuing Education Units/for you own information
- C.
Continuing Education Units/proof
- D.
Continuing Education Units/Keep your certification active
- 6.Which part of the Medicare covers prescription drug services?
- A.
A
- B.
B
- C.
C
- D.
D
- 7.What is necessary to document in the appt book and the medical record?
- A.
Patients medical information
- B.
Cancellations/Rescheduled appointments
- C.
Copies of insurance information
- D.
Last visits
- 8.How many provisions does HIPAA contain?
- A.
One
- B.
Two
- C.
Three
- D.
Four
- 9.What require annotation?
- A.
Sorting Mail
- B.
Answering calls
- C.
Faxing copies
- D.
Making appointments
- 10.Who is the legal owner of the patients medical record?
- A.
The patient
- B.
The physician or agency where services were provided
- C.
The patient's insurance company
- D.
Both the patient and the physician
- 11.What would cause you to have a young child and their parent wait in a separate area?
- A.
The child is ill with flu like symptoms. Prevent the spread of illness
- B.
The doctor has asked to have the child separated
- C.
The child is too sick to be in the same room as his parents
- D.
None of the above
- 12.Healthcare information is used to:
- A.
Determine how many patients enter a facility with the same diagnosis
- B.
Decide what equipment is needed to meet the needs of the patients
- C.
Help the facility plan for the needs of the next week and next year
- D.
All of the above
- 13.When is it necessary to shred or incinerate medical records?
- A.
After 10 years
- B.
When the records have exceeded the maximum retention time
- C.
After the patient has passed away
- D.
Never
- 14.Which of the following identifying markers should the medical assistant attempt to remember about suspicious individuals?
- A.
Height
- B.
Hair color and length
- C.
Clothing worn
- D.
All of the above
- 15.When do you need to observe the provider's initials/signature?
- A.
Before filing lab or other diagnostic results
- B.
When making a payment
- C.
In front of the physician
- D.
None of the above
- 16.The medical assistant should collect which of the following when a new patient comes to the office?
- A.
Patients information sheet
- B.
Copy of insurance card, front and back
- C.
Copy of driver's license
- D.
All of the above
- 17.When is it necessary to verify preauthorization?
- A.
After outpatient surgery
- B.
Before outpatient surgery
- C.
At check in
- D.
None of the above
- 18.A type of insurance that protects workers from loss wages after an industrial accident that happened on the job is called?
- A.
An individual policy
- B.
Worker's compensation
- C.
Unemployment insurance
- D.
Disability insurance
- 19.When is a good time to print out the encounter forms for the next day?
- A.
A week before
- B.
A week after
- C.
The day after
- D.
The night before or morning of
- 20.The maximum amount of money that the third-party payors will pay for a specific procedure or service is called the:
- A.
Benifit
- B.
Allowable charge
- C.
Allowed service
- D.
Incurred amount
- 21.Where would you find the NPI number?
- A.
CMS-1500
- B.
CMS-1400
- C.
CMS
- D.
None of the above
- 22.Which of the following statements best describes the concept of "professional courtesy"?
- A.
Referral system in which physicians send patients to colleagues for consultation and treatment
- B.
Charging reduced or no fee for services rendered to other medical professionals
- C.
Practice of not undercharging for services and thus lowering the insurance company fees schedules
- D.
Reducing fees charged for treatment of friends and family members
- 23.What is a reason a patient would sue the provider?
- A.
If the patient is not being taken care for
- B.
If given the wrong medication and it caused a fatal incident
- C.
Abandonment/if he leaves on vacation and does not provide another MD to care for them during his leave
- D.
None of the above
- 24.How would you properly index the name "Amanda M. Stiles-Duncan" for filing?
- A.
Stilesduncan, Amanda M.
- B.
Stiles Duncan, Amanda M.
- C.
Duncanstiles, Amanda M.
- D.
Duncan, Amanda M. Stiles
- 25.What can help you with ease of use and confidentiality?
- A.
Files
- B.
Books
- C.
Journals
- D.
Computers
- 26.A claim that is printed and mailed to the carrier site is called a _______copy?
- A.
Soft
- B.
File
- C.
Hard
- D.
Paper
- 27.What term would best describe the result of releasing patient information without authorization?
- A.
Personal Bonding
- B.
Malfeasance
- C.
Transactional
- D.
Subjective
- 28.What kind of calls does a Triage Nurse handle?
- A.
Skin irritation
- B.
Heart Problems
- C.
Tooth aches
- D.
Ear pain, sore throat, headaches
- 29.If Mr.Jones insurance has a $500 deductible and a $50 surgery copay, how much will his insurance pay on his bill of $4359.00?
- A.
$3809.00
- B.
$2809.00
- C.
$3980.00
- D.
$3900.00
- 30.What are some examples of what is considered to be outside your scope of practice?
- A.
EKG, Medication administration, assist on procedures with provider. venipuncture
- B.
Preforming surgery
- C.
Give advice to the patients with out physicians consent
- D.
All of the above
- 31.The best method of patient identification is:
- A.
A birth certificate
- B.
A state-issued ID card or drivers license
- C.
A student ID
- D.
Social Security card
- 32.What three regulations require you to make sure every patient receives a Privacy Practice Policy?
- A.
State, Local, Judicial
- B.
Local, County , Federal
- C.
State, Local, Federal
- D.
None of the above
- 33.A system of recording, classifying all employees in a facility?
- A.
Position -schedule bonding
- B.
Personal-bonding
- C.
Blanket-position bonding
- D.
General bonding
- 34.What is required when making travel arrangements for providers?
- A.
Verify all schedules
- B.
Call all patients
- C.
Reschedule patients
- D.
All of the above
- 35.Which of the following items are parts of the physician's office budget?
- A.
Medical equipment
- B.
Rent or mortgage
- C.
Taxes
- D.
All of the above
- 36.What must you consider when updating a Medicare Fee Schedule?
- A.
Least fees allowed by Medicare
- B.
Max fees allowed by Medicare
- C.
Least fees allowed by Medical
- D.
Max fees allowed by Medical
- 37.Which of the following is not one of the patients rights provided by HIPAA?
- A.
Right to notice of a facility's privacy practice
- B.
Right to receive notice of all disclosures of PHI
- C.
Right to obtain the original medical record
- D.
Right to have access to, view and obtain a copy of their PHI
- 38.When is it necessary for a patient to sign a Medicare Summary Notice?
- A.
When they want to have a non-covered procedure
- B.
When they do not want to have a non-covered procedure
- C.
After they speak to their physician
- D.
None of the above
- 39.Which of the following dates is written correctly for inclusion in the heading of a letter?
- A.
5/1/07
- B.
May 1st,2007
- C.
May 1, 2007
- D.
May 1, 07
- 40.An instance when you would instruct the patient to call 911?
- A.
Domestic violence
- B.
Burglary
- C.
Both A & B
- D.
C/O SOB and Chest Pain
- 41.The process done before claims submission to examine for accuracy and completeness is to:
- A.
Correct
- B.
Audit
- C.
Revise
- D.
Reject
- 42.Which letter style combines efficiency with an attractive page layout?
- A.
Modified-block
- B.
Block
- C.
Simplified
- D.
None of the above
- 43.Which standard size letterhead is appropriate for most business correspondence?
- A.
5 1/2 x 8 1/1 inches
- B.
7 1/4 x 10 1/2 inches
- C.
8 1/2 x 11 inches
- D.
17 x 22 inches
- 44.Health insurance designed for military dependents and retired military personnel is:
- A.
CHAMPVA
- B.
TRICARE
- C.
Medicare
- D.
Medicaid
- 45.The amount of money paid to keep an insurance policy in force is the:
- A.
Premium
- B.
Deductible
- C.
Copay
- D.
Co-insurance
- 46.The federal and state-sponsored health insurance program for the medically indignet is called:
- A.
Medicare
- B.
Medicaid
- C.
Medigap
- D.
MediCal
- 47.Which of the following would most likely be a sentinel event?
- A.
Mistaken patients identities
- B.
A baby born before the due date
- C.
A death after emergency surgery
- D.
All of the above
- 48.Arrange these names in alphabetical order (scroll down to view names).select the sequence of the numbers that reflects the correct alphabetic order. (1) Woods-Jones, Stephanie (2) Ross, Kim (3) Mitchell, Pat (4) Jones, Sandra
- A.
(1), (2), (3), (4)
- B.
(3), (2), (4), (1)
- C.
(2), (3), (1), (4)
- D.
(4), (3), (2), (1)
- 49.Cardinal rules for bookkeeping include:
- A.
Good penmanship
- B.
Legible records
- C.
Straight columns of figures
- D.
All of the above
- 50.Acting in anticipation of future problems is:
- A.
Being aware
- B.
Being proactive
- C.
Circumventing
- D.
Incurring
- 51.The medical record should be released only with a"
- A.
Verbal order from the physician
- B.
Written order from the physician
- C.
Written release from the patient
- D.
Verbal order from the office manager
- 52.A document that explains what expenses were paid after submission to Medicare and sent to the physician's office is called a(n);
- A.
Remittance advice
- B.
Estimate of benefits
- C.
Explanation to benefits
- D.
Utilization review
- 53.The non-profit organization that assists healthcare facilities by proving accreditation?
- A.
OSHA
- B.
ABHES
- C.
JCAHO
- D.
JCHAO
- 54.Which of the following is the usual business envelope size?
- A.
No. 5
- B.
No. 10
- C.
No. 6 3/4
- D.
No. 5 3/4
- 55.Information that is gained by questioning the patients or taken from a form is called_________information?
- A.
Confidential
- B.
Subjective
- C.
Objective
- D.
Necessary
- 56.When working under a managed care plan, physician's agree to:
- A.
Base fees on national trend
- B.
Charge fees that are based on local community averages
- C.
Accept fees that are predetermined by the plan
- D.
Set fees within certain ranges provided by the plan
- 57.The physician's signature is located in block:
- A.
12
- B.
13
- C.
31
- D.
33
- 58.Why is usually poor policy to accept third-party checks from patients?
- A.
This type of check is illegal
- B.
Third-party checks are not negotiable
- C.
The check will likely bounce
- D.
You cannot verify the reliability of the maker
- 59.PHI stands for:
- A.
Protected health instructions
- B.
Protected health information
- C.
Private health information
- D.
Private health instructions
- 60.Leaders who are structured and organized and who ensure that their subordinates understand their duties are called?
- A.
Charismatic
- B.
Transformation
- C.
Transactional
- D.
Democrative
- 61.Complaints regarding patient privacy must be filed within how many days from when the patient knew or should have known that an act occured?
- A.
30
- B.
60
- C.
120
- D.
180
- 62.When preparing a file for a new patient, the medical assistant should:
- A.
Be sure the patient's name is spelled correctly
- B.
Review the forms the patient filled out for completeness
- C.
Copy the insurance card or assure that insurance information is included
- D.
All of the above
- 63.How many diagnosis can be reported on the CMS-1500
- A.
Two
- B.
Three
- C.
Four
- D.
Six
- 64.Which of the following is NOT a method of organizing a medical record?
- A.
Source-oriented
- B.
Problem-oriented
- C.
Progressively
- D.
Chronologically
- 65.Which of the following expenses would be paid by Medicare Part B?
- A.
Inpatient hospital charges
- B.
Hospice services
- C.
Physicians office visit
- D.
Home healthcare charges
- 66.Which of the following is not objective information?
- A.
Progress notes
- B.
Family history
- C.
Diagnosis
- D.
Physical examination and findings
- 67.Which of the following documents list the order in which business is to be conducted during a meeting?
- A.
Agenda
- B.
Bylaws
- C.
Itinerary
- D.
Minutes
- 68.Which of the following is not true regarding HIPAA laws?
- A.
Patients have more control over their medical records
- B.
Few boundaries are set on the use and release of health records
- C.
Patients can make informed choices regarding how their personal health information is used
- D.
Violators are held accountable if patients privacy rights are compromised
- 69.The division of the federal government that enforces privacy standards is:
- A.
OSHA
- B.
HIPAA
- C.
OCR
- D.
OIG
- 70.The properties owned by a business are called:
- A.
Assets
- B.
Liabilities
- C.
Equities
- D.
Accounts
- 71.What the provider owes and what is owed to the provider are necessary for __________________?
- A.
Trial Balance
- B.
Billing
- C.
Records
- D.
None of the above
- 72.Define "Professional Courtesy"
- A.
Referral system in which physicians send patients to colleagues for courtesy?
- B.
When a co-worker or friend of the provider gets treated for a discount
- C.
Practice of not undercharging for services and thus lowering the insurance company fee schedules
- D.
Reducing fees charges for treatment of friends and family members
- 73.When is it necessary to check for Dob and Medical Record Number?
- A.
After filing anything in the Medical Record
- B.
Before seeing the physician
- C.
After speaking to the physician
- D.
Before filing anything in the Medical Record
- 74.What process is the Content of Documentation addressed?
- A.
Correct
- B.
Revise
- C.
Insurance Audit
- D.
Reject
- 75.When do you need to set a date and time?
- A.
Board meeting
- B.
Before appointments
- C.
Staff meeting
- D.
After making appointments
- 76.What process requires you to verify the codes and providers orders
- A.
When scheduling off site diagnostic test
- B.
Before a diagnostic test
- C.
After a diagnostic test
- D.
None of the above
- 77.What is the next step after informing the provider that you have received a subpoena for a patient's information/medical record?
- A.
Make copies and mail them to the provider
- B.
Email copies to the provider
- C.
Both A & B
- D.
Schedule a time in a quiet area for them to come in and make copies
- 78.Why would you label files by the month and what kind of filing is this process called
- A.
To send out reminders/Tickler file
- B.
Email reminders
- C.
Make calls as reminders
- D.
All of the above
- 79.The insurance company does not pay a claim what should you check first?
- A.
OSHA
- B.
Insurance company
- C.
CMS-1500
- D.
None of the above
- 80.What would you check before correcting an error on an EOB?
- A.
Check the CMS-1500
- B.
Check the EOB and CMS-1500
- C.
Check the audit
- D.
Both B and C
- 81.When would you require the date of onset or admission on a letter of withdrawal?
- A.
After seeing a physician
- B.
When filing medical records
- C.
When auditing medical records on a discharged patient
- D.
None of the above
- 82.An instance when you would give a patient a copy of the Office Policies and Procedures?
- A.
Give medical administration a copy
- B.
Give copies only if patients ask
- C.
When the patients inquire about it/give them a copy of the policies and procedures
- D.
None of the above
- 83.Where would you look when dealing procedures that use chemicals?
- A.
MSDS
- B.
MDDS
- C.
DSMS
- D.
SSMD
- 84.What does MSDS stand for?
- A.
Material Study Data Stream
- B.
Medical Safety Data Sheet
- C.
Material Safety Data Sheet
- D.
None of the above
- 85.What is the reason you would repeat the patient's appt time and date?
- A.
To make sure they heard you
- B.
Because its common courtesy
- C.
To help them remember their next appointment/Ask them if there is anything else you can help them with
- D.
Both A & C
- 86.Examples of community resources?
- A.
Hospitals, Clinics, Health centers
- B.
AA, Flu Clinics, Planned Parenthood, County Health Services
- C.
Insurance companies
- D.
None of the above
- 87.Why would you draw a line through an item to be corrected and what else would be necessary?
- A.
An error in documentation/initial and date it
- B.
Incomplete information
- C.
Missing paper work
- D.
All of the above
- 88.When would you review the patient's record with them and what for?
- A.
When a patient requests records
- B.
When a patient requests an amendments to their medical records
- C.
When the physician requests an amendments to their medical records
- D.
None of the above
- 89.What is documented every time?
- A.
Medical Records
- B.
Receipts
- C.
Petty Cash Transactions
- D.
All of the above
- 90.A patient calls the office and insists on viewing their medical record after receiving an incorrect EOB. What actions should you take?
- A.
Email them a copy of the records
- B.
Mail the records to the patient
- C.
Have the physician call the patient to release the records
- D.
Schedule a time and private area for them to view their records
- 91.When should you offer the patients assistance in filling out forms and where should you do this?
- A.
When the patient doesn't understand the paper work
- B.
When the doctor asks you to help
- C.
Only when the patient asks for help
- D.
When the patient has trouble filling out the patients registration forms/ in a quiet, private area
- 92.Under which circumstance would the provider sign a business letter to you have composed?
- A.
Referral letter and Discontinued Care
- B.
If asked by the physician
- C.
If asked by the patient
- D.
All of the above
- 93.If a patient needs an appointment to discuss her renal function panel, which department should she see?
- A.
Medical Department
- B.
Insurance Company
- C.
Both A & B
- D.
Nephrology,Endrocrinology,Family Med,Urology
- 94.What actions should you take if a patient cancels their appointment with less then 24 hrs. notice?
- A.
Call the later appointments and ask if they can come in earlier
- B.
Ask physician if you can leave earlier
- C.
Move patients for other days
- D.
Both B & C
- 95.What does HIPAA require all providers have?
- A.
Insurance
- B.
Medical Record Copies
- C.
A & B
- D.
Privacy Officer and Notice of Privacy Practices
- 96.What document contains a list of procedures and set dollar amounts?
- A.
Meeting Schedules
- B.
Provider's Fee Schedule
- C.
Doctors Schedules
- D.
None of the above
- 97.Three examples of covered entities that are covered by HIPAA Privacy Law?
- A.
Health Care Plans, Health Care Providers and Health Care Clearing Houses
- B.
Medical Agencies, Clinics, Urgent Cares
- C.
Both A & B
- D.
None of the above
- 98.What is required to make a report on access to patient accounts?
- A.
Passwords
- B.
Journals
- C.
Diaries
- D.
All of the above
- 99.If a child is adopted and the adoptive parents are patients in the same medical group, where would you document the adoption information?
- A.
Document in the Child's Chart
- B.
In the hospital
- C.
At a medical clinic
- D.
None of the above
- 100.What is the practice responsibilities when they change their financial policies
- A.
Notify the physician
- B.
Notify your co-workers
- C.
Notify the patients
- D.
All of the above
- 101.What instance would cause you to refer a patient to the Office Manager or Billing Dept.
- A.
If the patient has lost their job and calls for payment arrangements
- B.
When the patient calls to speak to the manager
- C.
When the physician gives the patient the option to speak to the manager
- D.
None of the above
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