CMAA Certification Exam! Trivia Quiz

When preparing a file for a new patient, it is important for the medical assistant to ensure that the patient's name is spelled correctly. This is crucial for accurate record-keeping and identification purposes. Additionally, the medical assistant should review the forms the patient filled out for completeness. This ensures that all necessary information is provided and helps in providing appropriate care. Lastly, the medical assistant should copy the insurance card or assure that insurance information is included. This is essential for billing purposes and to ensure that the patient's insurance coverage is properly documented.

The medical assistant should attempt to remember all of the above identifying markers about suspicious individuals. Height, hair color and length, and clothing worn can all be important details in identifying and locating suspicious individuals. By remembering all of these markers, the medical assistant can provide accurate descriptions to law enforcement or other relevant parties, helping to ensure the safety and security of the healthcare facility.

When a new patient comes to the office, it is important for the medical assistant to collect all of the mentioned items. The patient information sheet helps in gathering important details about the patient's medical history, contact information, and any allergies or existing conditions. Collecting a copy of the insurance card, front and back, is necessary for verifying the patient's insurance coverage and ensuring accurate billing. Similarly, obtaining a copy of the driver's license helps in confirming the patient's identity and maintaining accurate records. Therefore, all of the mentioned items should be collected when a new patient visits the office.

The correct answer is "All of the above" because all three options mentioned (good penmanship, legible records, straight columns of figures) are cardinal rules for bookkeeping. Good penmanship ensures that the records are written clearly and can be easily read and understood. Legible records are important to ensure that the information recorded is accurate and can be easily referenced when needed. Straight columns of figures are necessary to maintain the accuracy of calculations and prevent errors in the bookkeeping process. Therefore, all three options are essential for effective bookkeeping.

Workers' compensation is the correct answer because it specifically refers to the type of insurance that protects workers from loss wages after an industrial accident that happened on the job. This insurance provides benefits to employees who are injured or become ill as a direct result of their job, and it typically covers medical expenses, rehabilitation costs, and a portion of lost wages. Unlike other types of insurance mentioned, such as individual policy, unemployment insurance, or disability insurance, workers' compensation is specifically designed to address workplace injuries and ensure that employees are financially supported during their recovery.

Healthcare information is crucial in determining the number of patients entering a facility with the same diagnosis. By analyzing this data, healthcare providers can identify trends and patterns, allowing them to allocate resources and plan accordingly. Additionally, healthcare information helps in deciding what equipment is required to meet the needs of the patient population. It ensures that the facility is adequately equipped to provide the necessary care. Furthermore, healthcare information aids in planning for the future needs of the facility, both in the short term (next week) and long term (next year). Therefore, the correct answer is "All of the above."

All of the options listed, including employee evaluations, confidentiality, and tardiness and absenteeism, should be included in a section of the office policy manual. This is because employee evaluations help in assessing and improving employee performance, confidentiality ensures the protection of sensitive information, and guidelines regarding tardiness and absenteeism help maintain discipline and productivity in the workplace. Including all of these topics in the office policy manual ensures that employees are aware of the expectations and guidelines related to these crucial aspects of their work.

The correct alphabetic order of the names is as follows:

(4) Jones, Sandra
(3) Mitchell, Pat
(2) Ross, Kim
(1) Woods-Jones, Stephanie

The names are arranged in ascending order based on the last name. "Jones" comes before "Mitchell," "Mitchell" comes before "Ross," and "Ross" comes before "Woods-Jones."

The correct alphabetical order of the names is MacDouglas, David; Marsh, Danielle; McDouglass, Dillard; Morton, Dianne.

A state-issued ID card or driver's license is the best method of patient identification because it is an official government-issued document that includes the person's name, date of birth, and a photograph. This form of identification is widely recognized and accepted in healthcare settings as a reliable means of verifying a patient's identity. Birth certificates, student IDs, and Social Security cards may not always be readily available or may not contain all the necessary information for accurate identification.

The correct answer is "Written release from the patient" because releasing medical records without the patient's written consent would violate their privacy rights and potentially breach confidentiality. Written consent ensures that the patient is aware and has given permission for the release of their medical records to a specific entity or individual. Verbal orders from the physician or office manager may not provide sufficient documentation or proof of the patient's consent.

The physician's office budget includes various expenses such as medical equipment, rent or mortgage payments, and taxes. Medical equipment is necessary for the functioning of the office and providing quality healthcare services. Rent or mortgage payments are required to maintain the office space. Taxes are a mandatory financial obligation that the physician's office needs to fulfill. Therefore, all of these items are part of the physician's office budget.

Assets are the properties owned by a business. These can include cash, inventory, buildings, equipment, and any other tangible or intangible items that hold value. Assets are important because they represent the resources that a business has available to generate revenue and meet its obligations. By managing and utilizing assets effectively, a business can increase its profitability and financial stability.

The standard size letterhead that is appropriate for most business correspondence is 8 1/2 x 11 inches. This size is commonly used because it fits well in standard envelopes and is easy to handle. It provides enough space for the letter content while still maintaining a professional look. Additionally, it is compatible with most printers and copiers, making it convenient for printing and reproducing documents.

PHI stands for Protected Health Information. This term refers to any individually identifiable health information that is transmitted or maintained in any form or medium, including electronic, paper, or oral. Protected Health Information is subject to certain privacy and security regulations under the Health Insurance Portability and Accountability Act (HIPAA) in the United States. This includes information such as a person's medical history, treatment records, and any other personal health-related information.

The insurance will pay the bill amount minus the deductible and copay. In this case, the deductible is $500 and the copay is $50. So, the insurance will pay $4359 - $500 - $50 = $3809.00.

Accepting third-party checks from patients is usually a poor policy because you cannot verify the reliability of the maker. This means that there is a risk that the check could be fraudulent or that the person who issued the check may not have sufficient funds to cover it. Without being able to verify the reliability of the maker, there is a higher likelihood that the check will bounce, resulting in a loss for the healthcare provider. Therefore, it is generally safer to avoid accepting third-party checks from patients.

The amount of money paid to keep an insurance policy in force is known as the premium. This is the regular payment made by the policyholder to the insurance company in exchange for coverage. The premium amount is determined based on various factors such as the type of insurance, coverage limits, and the individual's risk profile. It is essential to pay the premium on time to ensure that the insurance policy remains active and provides the necessary coverage when needed.

Being proactive means that you are preparing for future incidents.

The correct answer is "May 1, 2007". This is the correct format for writing a date in the heading of a letter. It includes the month written out in full, followed by the numerical day and year. The other options either use a different format or do not include the full month name.

TRICARE is the correct answer because it is a health insurance program specifically designed for military dependents and retired military personnel. It provides comprehensive coverage for a wide range of medical services, including doctor visits, hospital stays, prescription medications, and mental health services. TRICARE offers different plans and options to meet the specific needs of military families, ensuring they have access to quality healthcare. It is a vital benefit for those who have served in the military and their dependents, providing them with the necessary medical coverage they deserve.

The process done before claims submission to examine claims for accuracy and completeness is called an audit. This involves a thorough review of the claims to ensure that all necessary information is included and that the claims are accurate. The purpose of the audit is to identify any errors or discrepancies that may need to be corrected before the claims are submitted. This helps to prevent any potential issues or delays in the claims processing and ensures that the claims are submitted correctly.

Medicare part D is a prescription coverage plan that must be purchased separately to have prescription coverage.

Patients have a right to obtain a copy of the medical record but not to receive the original record. A cost can be incurred by the patient to obtain copies of their medical record. The original medical record should not leave the facility.

HIPAA laws actually set strict boundaries on the use and release of health records. These laws aim to protect the privacy and security of patients' personal health information. Violators who compromise patient privacy rights can face legal consequences and be held accountable for their actions. Therefore, the statement "Few boundaries are set on the use and release of health records" is not true regarding HIPAA laws.

Medicaid is the correct answer because it is a federal and state-sponsored health insurance program specifically designed to provide coverage for low-income individuals and families who are medically indigent. Medicare, on the other hand, is a federal health insurance program that primarily serves individuals who are 65 years or older, as well as certain younger individuals with disabilities. Medigap is a supplemental insurance plan that helps cover the gaps in Medicare coverage. MediCal, on the other hand, is a state-specific program in California that provides healthcare coverage for low-income individuals and families.

A claim that is printed and mailed to the carrier is called a hard copy because it refers to a physical copy of a document that is printed on paper. In this context, a hard copy is tangible and can be physically handled and mailed, as opposed to a soft copy which refers to a digital or electronic version of the document. A hard copy is often used for official documentation or for situations where a physical copy is required.

An agenda is a document that outlines the topics and activities that will be discussed and addressed during a meeting. It serves as a guide for participants, providing them with the order in which business is to be conducted. By listing the items to be discussed, an agenda helps ensure that the meeting stays focused and organized. Bylaws, on the other hand, are rules and regulations that govern the operations of an organization. Itineraries typically outline travel plans or schedules for events. Minutes are a record of the discussions and decisions made during a meeting.

The maximum amount for paid for services/treatment from third party payors is called the allowable charge.

Family history is not objective information because it is based on subjective accounts and memories of family members. Objective information is typically based on observable and measurable data, such as progress notes, diagnosis, and physical examination findings. Family history, on the other hand, relies on personal recollections and interpretations, making it more subjective in nature.

The correct answer is the physician or agency where services were provided. This is because the medical record is created and maintained by the healthcare provider or facility that has treated the patient. They are responsible for keeping the record accurate, confidential, and accessible for future reference. The patient may have rights to access and obtain copies of their medical records, but the ownership and responsibility for maintaining the record lies with the healthcare provider.

Modified-block letter style combines efficiency with an attractive page layout. In a modified-block letter, the date, closing, and signature block are aligned to the right, while the rest of the letter is aligned to the left. This style allows for a clean and professional appearance, making it visually appealing. At the same time, it maintains efficiency by organizing the content in a logical and structured manner. The modified-block style is commonly used in business correspondence as it strikes a balance between a neat layout and effective communication.

When working under a managed care plan, physicians agree to accept fees that are predetermined by the plan. This means that the plan sets a specific fee schedule for various services, and the physicians agree to provide those services at the predetermined fees. This helps to standardize and control costs within the managed care system, ensuring that all physicians within the network are reimbursed at the same rate for the same services. By accepting predetermined fees, physicians are able to participate in the managed care plan and provide care to its members.

The usual business envelope size is No. 10. This size is commonly used for business correspondence and can fit a standard 8.5" x 11" sheet of paper folded into thirds. It is the most popular and widely recognized envelope size for business purposes.

Information that is documented in the medical record that is from answers obtained by asking questions from the patient is considered to be subjective information.

JCAHO, also known as the Joint Commission on Accreditation of Healthcare Organizations, is a non-profit organization that provides accreditation to healthcare facilities. Accreditation from JCAHO signifies that the healthcare facility meets certain quality and safety standards. This accreditation process helps healthcare facilities improve their overall performance and ensures that they provide safe and effective care to patients. OSHA (Occupational Safety and Health Administration) is a government agency that focuses on workplace safety, while ABHES (Accrediting Bureau of Health Education Schools) accredits health education programs. JCHAO is not a recognized organization, so it is not the correct answer.

The term "progressively" does not make sense in the context of organizing a medical record. The other options, source-oriented, problem-oriented, and chronologically, are all legitimate methods of organizing medical records. Source-oriented involves organizing the records according to the different sources or departments that contributed to the record. Problem-oriented organizes the records based on specific medical problems or diagnoses. Chronologically organizes the records in the order in which the events occurred. However, "progressively" does not describe a recognized method of organizing medical records.

Medicare Part B covers medically necessary services like doctor visits, preventive care, and outpatient services. Part A, on the other hand, covers inpatient hospital stays, skilled nursing facility care, and hospice care. Home healthcare charges can be covered by either Part A or Part B, depending on the specific circumstances and whether the services are provided under a home health plan of care.

On the CMS-1500 form, which is used for billing medical services, up to four diagnoses can be reported in the designated fields. These diagnoses are used to justify the medical necessity of the procedures or services provided. While more diagnoses may exist for a patient, only four can be listed directly on the CMS-1500 form.

The physician's signature is located in block 31.

Accounting is the correct answer because it involves the process of recording, classifying, and summarizing financial transactions. Bookkeeping is a part of accounting that specifically focuses on recording financial transactions, but accounting encompasses a broader scope that includes analyzing financial information, preparing financial statements, and providing financial insights and recommendations. Accruing and depreciation are specific accounting concepts that deal with recognizing expenses and allocating the cost of assets over their useful lives, respectively.

Blanket-position bonding refers to a type of bonding that covers all employees in a facility. This means that all employees, regardless of their position or schedule, are included in the bonding arrangement. It provides a comprehensive and inclusive approach to bonding, ensuring that all employees are protected and bonded.

A transactional leader is structured and organized and ensure that their subordinates understand their duties.

"Professional courtesy" refers to the practice of charging reduced or no fees for services provided to other medical professionals. This concept is based on the idea of professional respect and support within the medical community, where healthcare providers offer discounted or free services to their colleagues as a gesture of goodwill. This practice helps to foster positive relationships and collaboration among healthcare professionals.

HIPAA has three provisions.

The physicians office receives a remittance advice that explains what expenses were paid after submitting claims to Medicare. A patient would receive a Medicare explanation of benefits. (EOMB).

A mistaken identity of a patient would be considered a sentinel event because serious consequences could happen to the misidentified patient. A sentinel event is defined as unexpected occurrence involving death or serious physical or psychological injury or the risk thereof. Sentinel events require immediate response and investigation.

The Office of Civil Rights (OCR) is the federal government division that enforces privacy standards.

Complaints regarding patient privacy must be filed within 180 days from when the patient knew or should have known that an act occurred. This means that patients have a maximum of 180 days to report any violations or breaches of their privacy rights once they become aware of them or should have reasonably known about them. It is important for patients to be proactive in protecting their privacy and taking action within the specified time frame to ensure their rights are upheld.