CMAA

101 Questions

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CMAA

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Questions and Answers
  • 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