CMAA Questions: Trivia Exam! Quiz

Patient name & Date of Birth are the two identifiers that are used

The correct answer is "Urinary tract infection." A urinary tract infection (UTI) is an infection that occurs in any part of the urinary system, including the bladder, urethra, kidneys, and ureters. It is caused by bacteria entering the urinary tract and can cause symptoms such as frequent urination, pain or burning during urination, cloudy or bloody urine, and lower abdominal pain. Treatment typically involves antibiotics to clear the infection.

Treatment- Tx, Diagnosis- Dx

Hypo- low, Brady- slow, Oligo- Scant/ little. Hyper- excessive or above normal

Patients are not locked into in-network providers; however, the insurance company may not cover their care if they choose an out-of-network provider & the patient will have to pay more our-of-pocket. A provider's office can receive transmissions from any lab or referring provider.

Oncologist- treats patients who have cancer, Cardiologist- treats patients with diseases of the heart, Neurologist- treats patients with neurological (nerves/ brain) disorders. Endocrinologist- treats people with diseases of the endocrine system (Pituitary, Pineal, THYROID, Thymus, Adrenals, Pancreas, Ovaries & Testes)

OSHA training must be renewed annually to ensure that employees are up to date with the latest safety regulations and procedures. This regular renewal helps to reinforce the knowledge and skills necessary to maintain a safe working environment and prevent accidents or injuries. By requiring annual training, OSHA aims to promote ongoing awareness and compliance with safety standards in the workplace.

The physician will sign the lab report when he/she has read it. Whether it is normal is irrelevant for you when filing as is the patient's address. A follow up visit may not be indicated by the result. You need to be sure that the physician has seen the result.

Polyuria- one of the classic symptoms of diabetes, meaning excessive urination, oliguria- means scanty or diminished urine production, and anuria- means absence of urine production. Hem- means blood, therefore hematuria means blood in the urine.

A spreadsheet is the most suitable software for creating an inventory document. Spreadsheets allow users to organize and manipulate data in a tabular format, making it easy to manage and track inventory items. With features like formulas, sorting, and filtering, a spreadsheet can calculate totals, generate reports, and provide real-time updates. Additionally, spreadsheets offer customizable templates specifically designed for inventory management, making it a practical choice for creating an inventory document.

Tickler filing is a chronological type of filing system that can be used to set reminders.

thrombo- clot, phlebo- vein, itis- inflammation

Cardiologist- treats diseases of the heart, Gynecologist- treats the female reproductive system, Endocrinologist- treats diseases of the endocrine system (which includes the following organs: pituitary, pineal, thyroid, thymus, pancreas, adrenals, testes, & ovaries) Oncologists treat patients who have cancer.

OSHA & CLIA are governmental regulatory agencies & the BBC stands for the British Broadcasting Corporation. BCBS stands for Blue Cross Blue Shield.

The correct answer is The Occupational Exposure to Hazardous Chemicals Standard and The Bloodborne Pathogen Standard. These two standards are part of OSHA (Occupational Safety and Health Administration) regulations. The Occupational Exposure to Hazardous Chemicals Standard ensures that employees are protected from the dangers of hazardous chemicals in the workplace. The Bloodborne Pathogen Standard focuses on protecting workers from exposure to bloodborne pathogens, such as HIV and hepatitis, and requires employers to implement safety measures to prevent transmission. Both of these standards are important for maintaining a safe and healthy work environment.

Colectomy- removal of the colon, Ileostomy- creating an artificial opening into the ileum (final segment of the small intestine), Chole (bile) cyst (bladder) ectomy (removal)

Part A is for hospital services, Part C is provided by private companies & enables beneficiaries to select a managed care plan as their primary coverage, Part D provides coverage for both generic & brand name drugs. Part B is for (non-hospital) medical expenses like office visits, X-ray & laboratory tests.

Medicaid is administered by the individual states and therefore each state sets its own requirements. Medicare, TRICARE & CHAMPVA are administered nationally.

The doctor would have to initiate a withdrawal of care, we never lie to our patients, and telling them to just show up as a walk in would only make the schedule worse. The only appropriate action is to schedule them for a slightly extended amount of time.

The doctor or office manager would have to make the decision to withdraw care or stop scheduling a patient. A history of cancellations is important to note in the chart as it can support claims that the patient was noncompliant & support withdrawal of care. You would want to amend the chart to show the no shows/cancellations if you have proof that the patient did not come to the office (in the schedule)

The provider or physician sets the fee schedule based on the RBRVS (Resource-based relative value scale)

With modified wave scheduling, a few patients are scheduled a together as with the traditional wave; however, unlike the wive which leaves the rest of the hour open for walk ins, emergencies, completing the patients that came in during the initial wave or administrative tasks, the modified wave brings in another patient (or two) in about 30 minutes later (within the initial hour) to prevent too much down time.

EKG & ECG - Electrocardiogram, studies the electrical activity of the heart, CBC- Complete Blood Count (blood test looking at numbers of blood cells/ formed elements) EEG- Electro/ encephalo/ gram Study of the electrical activity of the brain (encephalo)

According to the CPT manual, a patient is considered to be a "new patient" for billing purposes (Evaluation/ Management codes) if they have not been seen in 3 years.

Mail merge is the correct answer because it is a function in word processing software that allows users to create personalized letters and pre-addressed envelopes or mailing labels for mass mailings. With mail merge, users can merge a form letter with a data source, such as a spreadsheet or a database, to automatically populate the letter with personalized information for each recipient. This feature is commonly used for creating bulk mailings, such as newsletters, invitations, or marketing materials.

CBC stands for complete blood count & are lab results showing the numbers of red blood cells, white blood cells & platelets. This information may show that a patient is anemic or has an infection. The doctor needs to see & sign off on these results before they can be filed. However, you would not interrupt a provider to sign them. Attaching them to the front of the chart is the best way to ensure that the provider sees the results.

HMOs (Health Maintenance Organizations) require a member to choose a PCP (Primary care provider) to oversee their medical care. If the patient wants to see a specialist, they must first see their PCP to write a referral or their care with the specialist will not be covered. This is why the PCP is called a gatekeeper in the HMO.

Any employer with more than 10 employees is required to have their emergency evacuation plan in writing.

Section 21 identifies the diagnostic codes, Part 24 identifies the procedure codes, NPI is the national provider identifier is a unique identification number for covered healthcare providers that is required per HIPAA. Section 1 of the CMS- 1500 has boxes for Medicare, Medicaid, TRICARE/ CHAMPVA, Group health plan, FECA or Other.

amnio- refers to the amniotic fluid surrounding the fetus during pregnancy, thorac- thorax or chest, trachea- trachea (the tube that extends from the pharynx into the lungs, ostomy- cutting, centesis- drawing out fluid with a needle

The patient owns the information contained within their medical record, they do not however own the chart itself. That belongs to the practice. You would never give them the original. Making a copy is fine, however if you give them a copy & send them on their way, they may misunderstand what they read & could make healthcare decisions based on that misunderstanding. You must have them read over their medical record in the presence of the physician who can explain what medical terminology & test results mean.

A debit- a charge, an adjustment- a discount, a professional courtesy- discount for other healthcare providers. A credit is a payment.

The first thing you should do when trying to schedule a meeting for next month at 3:00 is to call patients that are already scheduled for 3pm and reschedule them. This ensures that there are no conflicts with existing appointments and allows you to free up the time slot for the meeting.

If the procedure was pre-authorized or pre-certified by the payer, you wouldn't need an ABN, Electronic Remittance Advice comes to the office after the payer has reimbursed the claim explaining what was covered, The Assignment of Benefit form allows the provider to bill the insurance company directly. ABN stands for Advance Beneficiary Notice & it is given to a patient when we expect that the insurance company is not going to cover a procedure that we would like to perform.

CMS- 1500 is the health insurance claim form for non-institutional providers like a family doctor or specialist. The Assignment of Benefit form allows the office to bill the insurance company (payer) directly. The Advance Beneficiary Notice is given to a patient when the proposed procedure will likely not be covered by the insurance company. The Electronic Remittance Advice is sent to the office from the insurance company to explain what services/procedures were reimbursed.

Res ipsa loquitor- shifts the burden of proof to the physician, malpractice- the practitioner failed to use the degree of knowledge or skill that is expected of someone in their profession, Libel- written defamation (false statements about a patient). Respondeat superior- the employer is responsible for the actions of the employee.

Colo- colon or large intestine, Ectomy- to cut out and remove, Entero- intestines, Ileo- last segment of the small intestine, Ostomy- creating an artificial opening

Single booking- one patient at a time, Modified wave- wave plus additional patient before the end of the hour, double booking- scheduling 2 patients in at the same time

Respondeat superior- the employer is responsible for the actions of the employee, Malpractice- a doctor failed to use the degree of knowledge or skill that is expected on a person in their profession, Assault- a threat or attempt to injure. Res ipsa loquitor shifts the burden of proof onto the physician.

Patient status refers to discharge (discharged to home, to hospital, inpatient, outpatient)