broj 9-9-9-9-9-9- Practice Assessment: Certified Medical Administrative Assistant (CMAA) Practice Test 2.0 A

FLAG Providers should use which of the following when a procedure is excluded from the Medicare fee schedule? CMS-1500 claim form Procedure consent form Advance Beneficiary Notice (ABN) Medicare Summary Notice (MSN)

ABN

FLAG Which of the following prefixes means "masculine"? Andr- Myel- Mast- Anti-

Andr-

FLAG Obtaining vital signs against a patient's will is an example of which of the following offences? Assault Battery Negligence Fraud

BATERY

FLAG Which of the following information is included in an explanation of benefits (EOB)? NPI number Employer ID Remaining deductible Claim adjustments

Claim adjustments

FLAG Which of the following actions is required by a patient when requesting a copy of his medical record? Call the physician's office to verify his identity. Provide a signed HIPAA privacy notice. Complete a Record Release Authorization. Submit a provider request form.

Complete a Record Release Authorization.

FLAG A patient is identified as a smoker in her medical record and requests a medical record amendment due to her cessation of smoking 15 years earlier. Which of the following sections of the Patient's Bill of Rights is the patient exercising? Confidentiality of Health Information Respect and Nondiscrimination Complaints and Appeals Consumer Responsibilities

Confidentiality of Health Information

FLAG A medical administrative assistant is creating a business correspondence. Which of the following salutations is appropriate for the assistant to use? Dear Mr. Goodwin: Dear Mr. Mark Smith M.D., RE: JANE HUDLEY Dear Dennis,

Dear Mr. Goodwin:

FLAG Before adding medical records to a patient's chart, the medical administrative assistant should take which of the following actions? File the records by chronological date. Photocopy the records for the provider to review and sign. Ensure the provider has initialed reports. Note in the report that the patient was notified of the results.

Ensure the provider has initialed reports.

Which of the following is the purpose of an encounter form? To save time and improve accuracy in data entry To establish financial responsibility To update the status of a workers' compensation case To verify patient demographics

Give the report to the patient's current provider for review.

FLAG Which of the following is a medical administrative assistant's function in the audit process? Initiating the audit Maintaining day sheets Making documentation corrections Changing codes on claims

Maintaining day sheets

FLAG Which of the following must be provided to a patient on a first visit, as required by HIPAA? An authorization form Notice of Privacy Practices A consent form Patient's Bill of Rights

Notice of Privacy Practices

FLAG A medical administrative assistant is scheduling a patient for a procedure. Which of the following actions should the assistant take first? Provide test preparation instructions. Ensure that a signed consent form is filed in the patient's chart. Verify the patient's insurance. Obtain a written prescription from the provider.

Obtain a written prescription from the provider.

FLAG Which of the following actions should a medical administrative assistant take if a patient has an existing workers' compensation case? Obtain the carrier case number. Provide a statement for any payments collected. Contact the patient's health insurance. Verify the validity of the claim prior to treatment.

Obtain the carrier case number.

FLAG Which of the following should a medical administrative assistant consult to find the proper method of scheduling an appointment for a particular office? Practice policy manual The Official Guide for Coding and Reporting (OGCR) A medical administrative assistant textbook The AMA's Current Procedural Terminology (CPT) manual

Practice policy manual

FLAG When a provider requests a patient to have a diagnostic test at a hospital, which of the following actions should the medical administrative assistant take? Collect the coinsurance for the procedure. Have the provider call the hospital and give orders for the test. Advise the patient to obtain preauthorization. Schedule the test with the hospital.

Schedule the test with the hospital.

FLAG When creating a retention schedule for patient medical records, a medical administrative assistant should consult which of the following? State guidelines HIPAA Privacy Rule CEJA Physician's Desk Reference

State guidelines

FLAG A medical administrative assistant is reviewing the release form of a patient who is a dependent minor. The assistant should ensure that who of the following signed the release form? A parent The minor The attending provider The legal custodian

The legal custodian

FLAG Who is responsible for obtaining preauthorization for inpatient hospitalization? The patient The admitting facility The plan administrator The provider performing the procedure

The provider performing the procedure

FLAG Which of the following is the purpose of a matrix? To create flexible waiting time for patients To determine patient appointment cancellations To differentiate between new and established patients To indicate when a provider is unavailable to treat patients

To indicate when a provider is unavailable to treat patients

FLAG Which of the following is the purpose of an encounter form? To save time and improve accuracy in data entry To establish financial responsibility To update the status of a workers' compensation case To verify patient demographics

To save time and improve accuracy in data entry

FLAG Which of the following forms is used to submit health insurance claims for inpatient services in a facility or hospital? CMS-1500 UB-04 DE 2501 CMS-1490S

UB-4

FLAG Which of the following is the appropriate procedure for a medical administrative assistant when handling a rejected health insurance claim? Downcode the claim to ensure payment. Resubmit the claim with new diagnostic and procedure codes. Verify coding compliance and resubmit the claim for adjudication. Update the claim with an alternate date of service.

Verify coding compliance and resubmit the claim for adjudication.

FLAG A new patient leaves the office because the practice does not accept his insurance. Which of the following actions should the medical administrative assistant take to prevent this scenario? Call the patient's insurance carrier to verify his eligibility after he has arrived for the appointment. Advise patients to verify coverage with their insurance carrier before coming in for an appointment. Verify insurance eligibility prior to scheduling new patients. Confirm insurance coverage when submitting a claim.

Verify insurance eligibility prior to scheduling new patients.

FLAG A patient is seeking a second opinion for an upcoming surgical procedure and has a referral from a provider. When the patient calls to schedule an appointment, which of the following actions should the medical administrative assistant take to assist in this process? Schedule the appointment following a 2-day waiting period. Verify that the patient's insurance is accepted by the provider. Instruct the patient to obtain preauthorization for the referral. Call the referring provider to confirm the referral.

Verify that the patient's insurance is accepted by the provider.

FLAG A patient who has Medicare insurance is covered for both inpatient and outpatient services under the same part of Medicare. Which of the following parts of Medicare covers the patient? Part A Part B Part C Part D

c

FLAG A medical administrative assistant instructs a patient to arrive on Monday at 9:00 a.m. for cast removal because the provider is only available on Monday mornings for that procedure. Which of the following methods of scheduling is the assistant using? Open hours Wave Double-booking Clustering

clustering

FLAG Which of the following is required to establish medical necessity on the patient encounter form? Diagnosis code Insurance carrier's identification number NPI number POS code

diagnose c

FLAG Which of the following documents must a medical administrative assistant provide for a patient to submit for reimbursement? Patient registration form Claims register Remittance advice Encounter form

ecounter form

FLAG Which of the following indicates a patient is aware of the medical necessity, the risks, and the benefits of a procedure? Informed consent Mandatory report Implied consent Advance directives

informed c

roots swallow means

phag

FLAG Which of the following abbreviations is a type of insurance plan? POS COB DME OIG

pos

FLAG Microsoft Excel is an example of which of the following types of programs? Database management Spreadsheet application Word processing Graphics application

spreadsheet aplication

FLAG Which of the following is the amount the medical administrative assistant should submit to the secondary insurance carrier if the encounter balance is $360 and the patient has two plans with an 80/20 split? $20 $72 $80 $288

72