Medical Administrative Assistant Final Exam

The cardinal rules for bookkeeping include good penmanship, legible records, and straight columns of figures. These rules are important because they ensure accuracy and clarity in the bookkeeping process. Good penmanship helps prevent errors and makes it easier to read and understand the records. Legible records are essential for easy reference and analysis. Straight columns of figures make it easier to calculate and verify the accuracy of the numbers. Therefore, all of these rules are important and should be followed in bookkeeping.

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 to avoid any confusion or misidentification in the future. The medical assistant should also review the forms filled out by the patient to ensure that they are complete. This ensures that all necessary information is available for proper treatment and billing. Additionally, copying the insurance card or ensuring that insurance information is included is important for verifying coverage and facilitating the billing process. Therefore, all of the given options are correct and should be followed by the medical assistant.

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 describing suspicious individuals. By remembering these markers, the medical assistant can provide accurate information to authorities if needed.

All of the items listed (medical equipment, rent or mortgage, and taxes) are part of the physician's office budget. Medical equipment is necessary for providing medical services, rent or mortgage is the cost of the office space, and taxes are a financial obligation that the physician's office must fulfill. Therefore, all of these items contribute to the overall budget of the physician's office.

Workers' compensation is the correct answer because it specifically refers to the type of insurance that provides coverage for workers who have suffered from an industrial accident while on the job. This insurance is designed to protect workers by providing them with compensation for lost wages, medical expenses, and rehabilitation costs resulting from the accident. It is a mandatory coverage in many countries and is intended to ensure that workers are financially supported in the event of a workplace injury or illness.

When a new patient comes to the office, the medical assistant should collect all of the above mentioned items. The patient information sheet is necessary to gather important personal and medical details of the patient. A copy of the insurance card, front and back, is needed to verify the patient's insurance coverage and facilitate billing. Lastly, a copy of the driver's license is collected to confirm the patient's identity. Collecting all these documents ensures that the necessary information is obtained for proper record-keeping and to provide appropriate healthcare services.

PHI stands for Protected Health Information. This term refers to any sensitive and private information about an individual's health, medical history, or healthcare services that is protected under the Health Insurance Portability and Accountability Act (HIPAA) in the United States. This includes information such as medical records, lab results, prescriptions, and any other personally identifiable health information. The term "Protected Health Instructions" does not accurately reflect the meaning of PHI, as it does not pertain to instructions but rather to the protection of health-related information.

Healthcare information is used to determine the number of patients entering a facility with the same diagnosis, which helps in understanding the prevalence of certain conditions and planning for appropriate resources. It is also used to decide what equipment is needed to meet the needs of the patient population, ensuring that the facility is well-equipped to provide necessary care. Additionally, healthcare information helps in planning for the future by analyzing trends and patterns, allowing the facility to anticipate and prepare for the needs of next week and next year.

Assets are the properties owned by a business. They can be tangible, such as buildings, equipment, or inventory, or intangible, such as patents or trademarks. Assets are important because they represent the value of a business and can be used to generate revenue. They are recorded on a company's balance sheet and are typically categorized as current assets (e.g., cash, accounts receivable) or non-current assets (e.g., property, plant, and equipment).

An agenda is a document that lists the order in which business is to be conducted during a meeting. It outlines the topics to be discussed, the time allocated for each item, and any necessary actions or decisions to be made. Bylaws, on the other hand, are rules and regulations that govern the organization's operations and structure. Itinerary refers to a plan of travel or a schedule of events, usually related to trips or events. Minutes are a written record of what was discussed and decided during a meeting. Therefore, the correct answer is Agenda.

All of the options listed - employee evaluations, confidentiality, tardiness and absenteeism - should be included in a section of the office policy manual. Employee evaluations help in assessing and improving employee performance, confidentiality ensures the protection of sensitive information, and guidelines on tardiness and absenteeism help maintain attendance and punctuality standards. Including all of these topics in the office policy manual ensures clear guidelines and expectations for employees to follow.

Mr. Jones' insurance has a $500 deductible, which means that he is responsible for paying the first $500 of his medical bill. After the deductible is met, his insurance will cover a portion of the remaining cost. In this case, Mr. Jones' bill is $4359.00, but since he has already paid the deductible, his insurance will pay the majority of the remaining cost. The surgery copay of $50 is not relevant to this calculation. Therefore, his insurance will pay $3809.00 towards his bill.

The best method of patient identification is a state-issued ID card or driver's license because it is an official government-issued document that includes a person's name, photograph, and other identifying information. This form of identification is widely accepted and recognized in various healthcare settings, ensuring accurate and reliable identification of the patient. Birth certificates, student IDs, and Social Security cards may not provide the same level of verification and may not be universally accepted as valid identification for healthcare purposes.

Family history is not objective information because it involves subjective information provided by the patient or their family members. Objective information is based on observable facts and does not rely on personal opinions or interpretations. Progress notes, diagnosis, and physical examination and findings are all examples of objective information as they are based on the healthcare provider's observations and measurements.

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, day, and year, and is written with the month spelled out, followed by the day and year separated by commas. The other options either do not include the full date or use incorrect punctuation.

The correct answer is "Written release from the patient" because patient confidentiality is a fundamental principle in healthcare. Releasing medical records without the patient's written consent would violate their privacy rights. Verbal orders from the physician or office manager may not be sufficient evidence of patient consent and could lead to potential legal issues. Therefore, it is essential to obtain a written release from the patient before disclosing their medical records.

Modified-block letter style combines efficiency with an attractive page layout because it follows a similar format to the block style, with the body of the letter aligned to the left, but with some modifications. In the modified-block style, the sender's address, date, and closing are aligned to the right, creating a more visually appealing and balanced layout. This style allows for clear and organized communication while also presenting a professional and aesthetically pleasing appearance.

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 the coverage provided by the policy. The premium amount can vary depending on factors such as the type of insurance, the level of coverage, the policyholder's age and health status, and any additional riders or endorsements added to the policy.

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. This is in contrast to a soft copy, which refers to a digital or electronic version of a document that is stored on a computer or other electronic device. In the context of mailing a claim to the carrier, a hard copy would be the appropriate term to use.

Accepting third-party checks from patients is usually poor policy because you cannot verify the reliability of the maker. This means that there is a risk that the check may be fraudulent or bounce, causing financial loss to the healthcare provider. Without being able to verify the reliability of the maker, it is difficult to ensure that the funds will be available to cover the payment. Therefore, it is generally safer to avoid accepting third-party checks to minimize the potential for financial complications.

The standard size letterhead that is appropriate for most business correspondence is 8 1/2 x 11 inches. This size is commonly used and accepted in the business world as it provides enough space for a professional letter or document without being too large or too small. It is also compatible with most printers and can easily fit into standard envelopes, making it convenient for mailing.

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

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

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 primarily for individuals aged 65 and older, while Medigap is a supplemental insurance plan that helps cover the gaps in Medicare coverage. MediCal is a state-specific program in California that provides healthcare coverage for low-income individuals and families.

To be proactive means that you are preparing for future incidents.

The correct answer is the physician or agency where services were provided. This is because the medical record is a legal document that contains sensitive and confidential information about the patient's health and treatment. The physician or agency is responsible for creating and maintaining the medical record, and they have ownership and control over it. The patient has the right to access and request copies of their medical record, but they do not have ownership of it.

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 medical services, including doctor visits, hospital stays, prescription medications, and preventive care. TRICARE offers different plans and options to meet the specific needs of beneficiaries, ensuring they have access to quality healthcare. It is administered by the Department of Defense and is an important benefit for those connected to the military community.

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.

The correct answer is (4), (3), (2), (1). This is the correct alphabetical order of the names listed. "Jones, Sandra" comes first because "J" comes before "M" and "R". "Mitchell, Pat" comes next because "M" comes before "R" and "W". "Ross, Kim" comes after "Mitchell, Pat" because "R" comes before "W". Finally, "Woods-Jones, Stephanie" comes last because "W" is the last letter in the alphabet.

The process done before claims submission to examine claims for accuracy and completeness is called an audit. During an audit, claims are carefully reviewed and analyzed to ensure that they are correct and complete. This involves checking for any errors, inconsistencies, or missing information in the claims. By conducting an audit, organizations can identify and address any issues or discrepancies before submitting the claims, ultimately helping to improve the accuracy and efficiency of the claims process.

Medicare part B benefits cover physician office charges.

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.

When working under a managed care plan, physicians agree to accept fees that are predetermined by the plan. This means that they agree to receive a fixed amount of payment for their services, which is determined in advance by the managed care organization. This helps to standardize and control healthcare costs within the plan, as physicians cannot charge higher fees than what is predetermined. By accepting these predetermined fees, physicians ensure that they are in compliance with the managed care plan's payment structure and reimbursement policies.

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

"Professional courtesy" refers to the practice of charging reduced or no fee for services provided to other medical professionals. This means that when medical professionals seek medical treatment or services from their colleagues, they are given a special discount or are not charged at all. This practice is a way for medical professionals to show respect and support for their colleagues within the healthcare industry. It helps to foster a sense of camaraderie and professional networking among medical professionals.

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).

The term "progressively" does not make sense in the context of organizing a medical record. The other three options - source-oriented, problem-oriented, and chronologically - are commonly used methods of organizing medical records. Source-oriented refers to organizing the record based on the various sources of information, problem-oriented focuses on organizing the record around specific medical problems, and chronologically refers to organizing the record in the order of events or time. "Progressively" does not fit into any of these categories and is therefore not a method of organizing a medical record.

Accounting refers to the process of recording, classifying, and summarizing financial transactions. It involves the systematic and comprehensive recording of all financial activities within an organization. Bookkeeping, on the other hand, is a subset of accounting and primarily focuses on the recording and organizing of financial transactions. Accruing refers to the process of recognizing and recording expenses or revenues that have been incurred but not yet paid or received, while depreciation refers to the allocation of the cost of an asset over its useful life. Therefore, the correct answer is Accounting.

JCAHO, also known as the Joint Commission on Accreditation of Healthcare Organizations, is a non-profit organization that provides accreditation to healthcare facilities. They work to ensure that healthcare organizations meet certain quality and safety standards in order to provide the best care for patients. JCAHO's accreditation process involves evaluating various aspects of a healthcare facility, including patient care, staff qualifications, and facility management. By receiving JCAHO accreditation, healthcare facilities demonstrate their commitment to providing high-quality care and continuously improving their services.

The correct answer is "Stilesduncan, Amanda M." This is the proper way to index the name "Amanda M. Stiles-Duncan" for filing because it follows the convention of listing the last name first, followed by a comma and then the first name and middle initial. The hyphenated last name "Stiles-Duncan" is treated as one unit and comes before the first name.

No. 10 is the usual business envelope size. This size is commonly used for mailing letters, invoices, and other business documents. It measures approximately 4 1/8 inches by 9 1/2 inches, providing enough space to fit standard letter-size documents folded into thirds. The No. 10 envelope is widely recognized and accepted by postal services, making it the preferred choice for business correspondence.

HIPAA has two provisions.

HIPAA laws, or the Health Insurance Portability and Accountability Act, aim to protect patient privacy and ensure the security of their medical records. One of the main objectives of HIPAA is to establish boundaries and restrictions on the use and release of health records. Therefore, the statement "Few boundaries are set on the use and release of health records" is not true.

The physician's signature is typically located in block 31 on medical documents. This is because block 31 is specifically designated for the physician's signature, while blocks 12, 13, and 33 are usually used for other information such as patient demographics, medical history, or diagnostic codes. Therefore, it is most likely that the physician's signature would be found in block 31.

Complaints regarding patient privacy must be filed within 180 days from when the patient knew or should have known that an act occurred. This time frame allows patients to report any violation or breach of their privacy within a reasonable period. It ensures that patients have sufficient time to gather evidence or information regarding the act before filing a complaint. Filing within this deadline also helps in maintaining the integrity of the investigation process and allows for timely resolution of privacy-related issues.

The CMS-1500 form can have up to four diagnoses reported.

Blanket-position bonding refers to a type of bonding that covers all employees in a facility. This means that all employees are bonded together as a group, regardless of their individual positions or schedules. This type of bonding ensures that all employees are held accountable and responsible for the overall success and functioning of the facility. It promotes a sense of unity and collective responsibility among the employees, fostering a positive work environment.

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.

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

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