RMA Administrative review test

Lakukan tugas rumah & ujian kamu dengan baik sekarang menggunakan Quizwiz!

46. A document requiring a person to appear in court is a:

(a) Subpoena

115. Which entity below enforces HIPAA security rules?

(a) The Centers for Medicare and Medicaid Services

86. PLEASE USE THE ILLUSTRATION BELOW TO ANSWER THE FOLLOWING QUESTION REGARDING CORRESPONDENCE. 1) Xxxxxxxxxx 2) Xxxxxxxxxx Xxxxxxxxxx 3) Xxxxxxxxxxxxxxxxxxx 4) Xxxxxxxxxxxxxxx 5) Xxxxxxxxxxxxxxxxxxxxxxxxxxxxx Xxxxxxxxxxxxxxxxxxxxxxxxxxxxx Xxxxxxxxxxxxxxxxxxxxxxxxxxxxx 6) Xxxxxxxxxxx 7) Xxxxxxxxxxx 8) XX/xx In the above illustration, line (7) represents the ?

(a) Typed signature

6. Maslows hierarchy needs are often?

(a) barriers to the therapeutic communication

215. An email written to a patient should still be considered business communication. Emails should start with a(n)______________ and end with a(n)________________.

(a) salutation, electronic signature

205. Patient letters created from __________ use structured data and do not require a large amount of revisions or additional typed data.

(a) templates

1. Attribute of a professional medical assistant include all of the following except?

(a)Knowledge

150. Medical records in this medical office are filed alphabetically. Arrange the following names in alphabetical order to prepare them for filing. Select the sequence of the number correctly that alphabetizes the names. 1. Smith, James 2. Smithson, Jane 3. Smithy, J 4. Smithe, John

(a) (1), (4), (2), (3)

198.Which of the following patients should be seen on the same day they call the medical office?

(b) A patient who has had a fever of 103°F for three days

53. A debt incurred but not paid yet paid is called:

(b) Accounts payable

42. The daily summary of what remains unpaid on the patient accounts is the:

(b) Accounts receivable

20. Which of the following would NOT be a good practice in decreasing the risk of embezzlement?

(b) Allow multiple users of the signature stamp

140. Which on the following represents a successful "trial balance?"

(b) Assets equal the liabilities plus equity

38. Which of these acts constitutes negligence?

(b) Breach of the physician's duty of skill or care

107. Which one of the following is NOT an example of a fee-for-service plan?

(b) Capitated HMO

74. A Regulations are enforced by the ?

(b) Centers for Medicare and Medicaid Services (CMS).

207. What is the main purpose of an appointment reminder?

(b) Decrease the number of patients who miss appointments.

69. Which of the element below, medical ethics are most closely associated with ?

(b) Defining the scope of practice

22. The most acceptable manner to correcting a medical record error is to?

(b) Draw a single red line through the arrow

89. In cases of Worker's Compensation, a contract exist between the ?

(b) Employer and employee

54. The signature on the back of a check is the:

(b) Endorser

26. A statement sent to the patient outlining dates of service and payment amount is called a ?

(b) Explanation of benefits

139. The petty cash fund may be used:

(b) For small incidental items

8. The overall purpose of a patient education is to?

(b) Improve patient health

59. You heard that a famous actor is scheduled for surgery at your organization. Which of the following is accurate?

(b) Maintaining confidentiality

12. Which of the following is NOT a section in the CPT manual?

(b) Neurology

88. A spreadsheets is a computer application that helps users to ?

(b) Organize information in rows and columns

27. Which of the following is NOT a true statement regarding the ownership of medical records?

(b) Patients can request original materials from their chart

16. Which of the following type of check does not verify funds are currently available?

(b) Personal's

78. The fee that falls within the range of charges used by physicians in the same geographical area is known as the ?

(b) Reasonable fee

84. The correct way to reference a diagnoses in the ICD-10-CM code book is to ?

(b) Refer to the index, then to the definition

60. The principles of medical ethics are established by the ?

(b) State Medical Board

220.The Health Insurance and Portability Accountability Act (HIPAA) requires which of the following information to be included on a medical records release form?

(b) The purpose of releasing the information

3. Who determines the medical scope of practice?

(b) The state that you're practice in

40. A file used as a reminder that something must be taken care of a certain date is called a:

(b) Tickler

33. When multiple patients are evaluated and prioritized for treatment, it is called:

(b) Triage

39. The Employee's Withholding Allowance Certificate is the:

(b) W-4

216. When a patient misses his or her appointment and does not call to cancel, that patient is considered:

(b) a no-show

153. What information would you need in order to properly matrix the appointment book or electronic medical record?

(b) days and hours the physician performs hospital rounds

4. Interview techniques include all of the following except?

(b) direct statement

148. When a patients fails to keep an appointment the medical assistant should ?

(b) document the failed appointment in the patient's chart

142. Things that are owed or debts are called ?

(b) liabilities

199. The most important consideration when scheduling a patient appointment is:

(b) maintaining patient confidentiality

5. What are the four elements of the communication cycle?

(b) receiver Must decode the message gives feedback receiver Must decode the meaning of the Feedback

143. The words "for deposit only" specify what type of endorsement?

(b) restrictive

201. If the appointment schedule is set up with 10-minute time slots, a patient scheduled for a 30-minute appointment would use ____ time slots. If the appointment schedule is set up with 15-minute time slots the same patient would use ____.

(b) three, two

113. Which one of the following incoming telephone call should be handled first?

(b)Caller complaining of difficult breathing

195. Post-operative appointments should be approximately _____ in length.

130. Accepting assignment on a medical claim means that the physician is compensated:

120. According to the Federal Fair Debt Collection Practice Act, calls for collection of overdue accounts should NOT be made between ?

102. TRICARE (CHAMPUS) covers ?

132. A written authorization by the patient/policy holder giving the insurance company the right to pay the physician directly for billed ?

106. When the physician is delayed in arriving the medical assistant should ?

104. "Signature on File" used in box 12 of the CMS-1500 claim form indicates that the patient's medical record contains a signature for ?

203. Which section of a professional business letter contains the purpose of the correspondence?

34. Which manual identifies procedural codes for submitting insurance claims?

133. A payment method used by many managed care organization in which a fixed amount of money is reimbursed to the provider for patient enrolled during a specific period of time, no matter what services are received or how many visits are made:

11. Which of the following mailing services provide proof of delivery?

212. As the MA, you are working on inventory for an insurance update and you observe that several new pieces of equipment are not listed. What is the next step in the inventory process?

108. Which of the following accounts are assigned to a collection agency?

135. Medical sole proprietorship, partnerships, groups, and corporation are encouraged to purchase insurance policies that include benefits for medical expenses payable to individuals who are injured in the insured person's home, business, or car, without regards to the insured person's actual legal liability for the accident. This type of insurance is called:

56. What is the proper procedure when a patient refuses to accept and sign a Patient's Bill of Right Notice?

70. Medical assistant should contact the supervisor and Privacy Officer when which one of the following is observe ?

13. Computerized aging of patient accounts include all of the following except?

109. Use of the of the fourth and fifth digits in diagnosis coding indicates ?

47. The system used for classifying diseases to facilitate collection of health information is :

25. Automated phone systems should ?

105. The science of ergonomics is applied to ?

23. The most acceptable manner to correcting a medical record arrow is to?

152. Which of the following dates is written correctly for inclusion in the heading of a business letter?

9. Who revolutionized surgery by sterilizing instruments and washing physicians hands with an antiseptic spray?

218. Providing the diagnosis when requesting precertification for a procedure will help the insurance carrier to determine what?

48. An example of objective information in a patient chart is:

100. Physician-ordered laboratory test performed on a Medicare patient are billed to ?

206. letters notify patients of no-shows, while ______ letters inform patients of upcoming appointments.

79. Accounts should be reviewed for delinquencies ?

24. Which of the following is NOT a part of military insurance coverage?

55. When a physician's license from one state is accepted by another state, it is called:

121. When a patient calls to cancel an appointment, the medical assistant should ?

18. An appointment given on the basis of the needs of the individual patient is what type of scheduling?

101. When the patient seen by a physician for routine post-operative care, the visit is ?

45. The type of appointment scheduling in which several patients are given the same appointment time is called:

91. Which one of the following schedule types would be most often used by "urgent care" or walk-in clinics?

49. In communication with patients, an example of an open-ended question would be:

151. The medical assistant develops a matrix or a template prior to creating the physician's schedule in order to:

208. If a medical office is in violation of Health Insurance Portability and Accountability Act (HIPAA) regulations, that office can face both _________ penalties.

209. A collection of related files that serves as a foundation for retrieving information is a:

14. Perform you supposed all financial transactions is called

147. The person who sign her/his name on the back of a check for the purpose of transferring title to another person is the ?

196. .In _______ scheduling, patients are given a specific appointment time for the first half of the hour, leaving the second half of the hour open for walk-in patients.

200. An established patient is one who has been seen within the last ____ years.

82. An employee's withholding allowance certificate is sometimes referred to as ?

(c)W-4 form

68. Using reflective communication, which one of the following statements is the BEST response to a patient's statement "I have been so stressed at work"

(d) "It sounds like you have been felling a lot of pressure"

124. Accounts receivable from yesterday total $19,000. Today's charges are $1,000 and today's receipts are $500. Today's new account would be ?

(d) $19,500

197. Most post-operative protocols require the patient to have their first follow-up appointment within ___ days of having the procedure.

(d) 10

2. What percent of language is nonverbal?

(d) 70%

81. An insurance plan that assigns a Primary Care Physician and does NOT allow patient self-referral ?

(d) A Health Maintenance Organization

128. The policy describing a period of non-coverage for conditions diagnosed prior to issuance of an insurance benefits plan is called:

(d) A pre-existing conditions waiver

71. When dealing with a difficult patient, the medical assistant should ?

(d) Address the patient with a calm attitude

77. Patients agreeing to a payment plan must sign ?

(d) An implied contract

62. What is the proper procedure when a patient complains that his or her privacy was violated during a visit?

(d) Ask the patient to provide written documentation

37. A business letter in which all lines start flush with the left margin is:

(d) Block style

134. Claims for Medicaid patients enrolled in a managed care plan are paid according to what fee schedule?

(d) Capitated

146. Which of the following is an acceptable patient check?

(d) Certified

112. In what order is correspondence filed in an individual folder?

(d) Chronologically, with the most recent paper in front

214. Which administrative activity or activities will work to maximize appropriate reimbursement in the medical office?

(d) Collecting all insurance information for new patients, obtaining approvals required by insurance payers, and coding diagnosis and procedures for patient claims

141. In order to reconcile the bank account, the medical assistant must ?

(d) Compare the opening balance of the new statement with the closing balance of the previous statement, compare cancelled checks with items on the statement, and subtract any back fees from the checkbook balance.

127 A "non-duplication of benefits" is also called ?

(d) Coordination of benefits

50. The predetermined amount of money paid by the insured party before the insurance company pays medical expenses is referred to as:

(d) Deductible

114. The proper technique to use when correcting medical records includes ?

(d) Draw a line through the error, then writing in and initialing the correction

29. Hardware includes all the following except ?

(d) EHR programs

51. To ensure mail delivery the next day, you would send correspondence via:

(d) Express mail

43. Confirming the message the listener received is the message you intended to send is called:

(d) Feedback

119. A physician must always accept assignment when billing a cross-over claim

(d) In order to receive Medicare and Medicaid payments directly

94. Telephone collection calls should be placed ?

(d) In private to the patient

131. The notice sent to the patient showing the amount owed to the physician is called the:

(d) Itemized statement

72. When a patient disputes the amount of a bill, the medical assistant should ?

(d) Listen to the patient's concerns

17. Computerized patient accounts include all the following except?

(d) Manually aging all counts

90. Before seeing a specialist, a patient with HMO insurance plan must first obtain a referral from the ?

(d) Primary health physician

30. The purpose of medical records include all of the following except ?

(d) Provide administrative data for research

66. HIV test result may be released upon receipt of ?

(d) Specific written release by the patient

35. The 'S' in SOAP charting means:

(d) Subjective

15. All of the following are specialized CPT codes except?

(d) T codes

21. Which of the following performs the day to day operations of medical record?

(d) TPMS

44. Insurance that provides protection for wage earners and pays for medical care resulting from an occupational accident is:

(d) Worker's compensation

154. When making travel arrangements for the physician to attend a medical seminar or convention, the medical assistant should provide the physician with details of the entire trip, including dates and times of arrival and departure, flight and hotel confirmation numbers, and other details all in one document. This detailed description is called:

(d) an itinerary

144. This type of check is a bank's own check drawn on itself and signed by the bank cashier or other authorized official. This check is obtained by paying the bank amount of the check

(d) cashier's check

219. Services that usually require preauthorization or precertification include:

(d) inpatient hospitalization

202. The action of blocking time when a physician is unavailable is referred to as setting up an appointment:

(d) matrix

165. Laura disinfects the exam tables in between each patient using a 1:10 bleach solution. In order for the process to be effective she must.

(d) prepares the solution according to the recommended dilution, store the solution in a closed container to avoid evaporation, change the after the recommended period of expiration.

129. Medicare Part B covers:

(d) prescription medical equipment

162. Who is the legal owner of the medical record (original hardcopy or electronic medical record)?

(d) the physician or medical facility which initiated and developed the record

149. When an order arrives from a supplier, the box should be inventoried. The list of items included in a shipment is called the ?

(d)packing slip

213. Which scenario depicts a new patient visit?

(e) A patient who has not been in the office for more than three years

36. The pegboard system of accounting generates the following document:

(e) Receipt

188. A range of usual fees in the same community is the ?

(a) prevailing fee

169. The process of providing that a bank statement and checkbook balance and in agreement is known as ?

(a) reconciliation

166. Which one of the following represents the statistical characteristics of human populations(as in date of birth, address, telephone number, occupation, place of employment) used especially to identify markets?

(b) Demographic

173. In a collection situation, when a statement is returned marked "Moved - no forwarding address", the account may be termed

(b) abandoned

174. Banking fees will appear on a monthly statement in the form of a ?

(b) service charge

164. Which of the following is the correct way to write the first line of an inside address in a letter to Susan Martin, a pediatrician?

(d) Susan Martin, MD

170. Summaries identifying which patient accounts are 30, 60, 90, and 120days overdue include ?

(d) age analysis

171. Regulation Z of the truth in Lending Act is enforced by the Federal Trade Commission and is a part of the Consumer Credit Protection Act. When a physician agrees and accepts payment in installments, the physician must provide a disclosure statement about finance charges even if no finance charges are involved. What is the minimum number of installments in this Regulation?

(d) more than four installments

126.The Federal Insurance Contributions Act (FICA) is commonly referred to as ?

(A) Social Security and Medicare program

163. Medical records in this medical office are filed via terminal digit order. Arrange the following medical record numbers in terminal digit order from the lowest to the highest. Select the correct terminal digit order sequence

(B) (4), (3), (2), (1)

125. Which one of the following is NOT an example of a fee-for-service plan?

(B) Capitated HMO

7. Patients 85 years or older will increase by what percentage over the next 10 years?

(a) 50%

123. Each of the following statements describes OSHA EXCEPT ?

(a) A branch of the Food and Drug Administration

103. A list of available services and their charges is called ?

(a) A fee schedule

31. The amount of money the medical office owes for supplies and equipment is considered:

(a) Account payable

145. Which of the following is the correct accounting equation?

(a) Assets=Liabilities+ Proprietorship(Capital)

52. When patient authorizes an insurance company to make payment directly to the physician, it is called:

(a) Assignment of benefits

57. Surgical consent forms are referred to as?

(a) Authorization forms

117. When the physician order tests from the laboratory, the medical assistant should include which code on the request?

(a) CPT

80. Which of the following is NOT required of the HIPAA privacy rules for electronic medical records?

(a) Change passwords every week.

61. Which one of the following is NOT included in the complaints section of the Notice of Privacy Practices ?

(a) Compliance protocols

137. The specific amount specified by an insurance plan that the patient must pay toward the charges for professional services rendered is the:

(a) Copayment

93. The billing system in which statements are sent at different times of the month is called ?

(a) Cycle billing

10. What is the first stage of grief ?

(a) Denial

87. PLEASE USE THE ILLUSTRATION BELLOW TO ANSWER THE FOLLOWING QUESTION REGARDING CORRESPONDENCE. 1) XXXXXXX 2) XXXXXXXXXX XXXXXXXXXX XXXXXXXXXX 3) XXXXXXXXXXXXXX 4) XXXXXXXXX 5) XXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXX 6) XXXXXXXXXXXX 7) XXXXXXXXXXX 8) XX/xx In the above illustration, line (8) represents the ?

(a) Dictator's and medical secretary's initials

41. A set of principles or values is called:

(a) Ethics

138. A letter for statement from the insurance carrier describing what was paid, denied, or reduced in payment. Also contains information about amounts applied to the deductible, the patient's co-insurance, and the allowed amounts ?

(a) Explanation of benefits (EOB)

83. An example of tax NOT withheld from the employee's paycheck is ?

(a) FUTA Federal Unemployment Tax Act

116. The office encounter form is used ?

(a) For patient visit transactions

161. When patients arrive at the physician's office, medical records should not be found lying on the reception desk in view of patients signing in or approaching the desk. Avoiding this situation prevents violation of regulations established by the ?

(a) Health Insurance Portability and Accountability Act (HIPAA)

76. The acronym HMO refers to ?

(a) Health Maintenance Organization

136. Traditional health insurance plans that pay for all or share of the cost of covered services, regardless which physician, hospital, or other licensed healthcare provider is used. Policyholders and their dependents choose when and where to get healthcare services ?

(a) Indemnity plan

110. The most reliable source for obtaining patient insurance information initially is the ?

(a) Insurance identification card

118. Using the standard rule of indexing, Jean-Pierre Jardin would be filed as

(a) Jardin, JeanPierre

85. Catastrophic insurance coverage is known as ?

(a) Major medical insurance

204. What information is contained in the signature line of a business letter?

(a) Name and title

210. A _____ form explains how and when private health information is used and disclosed by the medical office.

(a) Notice of Privacy Practice

67. Given the background of a complaint, the Federal government defines all of the following as a signs of sexual harassment EXCEPT ?

(a) Offering a greeting

92. Which of the following patients should NOT wait in the reception room?

(a) Patient with possible chicken pox

19. The "write it once system "of bookkeeping is also known as?

(a) Pegboard

73. Patient's concern regarding the necessity of diagnostic procedures should be answered by the ?

(a) Physician

217. What process indicates that a patient's insurance company has verified a service is covered by the patient's policy, reviewed the medical necessity for the service, and agreed that it is medically appropriate?

(a) Precertification/Preauthorization

28. Medicaid varies stat-to-state, however all must cover at 100% all of the following except?

(a) Pregnancy

65. Privilege communication includes information

(a) Revealed to the physician by a patient

211. What is the completion of an incident report and assessing policies to prevent and minimize accidents in the office called?

(a) Risk management

122. The computer term "multi-tasking" refers to a computer's ability to ?

(a) Run several software applications simultaneously

75. Which one of the following applies to Universal Precautions Guidelines?

a. Gloves should be changed after each patient contact

58. Fraud alerts are issued by What Federal authority?

a. Office of the Inspector General (OIG)

111. Medical insurance policy has a deductible of $50.00, the ?

a. Patient is responsible for the first $50.00 of medical cost per year

95. A patient has a PPO-type insurance, the patient is usually responsible for ?

a. The co-payment

32. Balancing s checkbook with the bank statement is called:

b. Reconciliation

63. What type of rule is HIPPA?

c. A Federal law imposed on all healthcare organizations

168. When a patient cancels his or her appointment or merely does not show up, the correct course of action is to ?

c. calls the patient and try to reschedule for another time; document the missed appointment in the patient record and in the appointment book or database

64. When a patient refuses to have venipuncture performed the medical assistant should be

d. Inform the physician

160. The method used to accommodate appointments for minor emergencies in the physician's office is to ?

(c)leaves unassigned slots in the appointment schedule

180. Which of the following entries are recorded in the adjustment column?

(a) Insurance write-offs

181. Medicare Part B pays physicians on a fee scale consisting of three parts:1. Physician's work. 2. Charge-based professional liability expenses. 3. Charge-based overhead. This fee scale is known as ?

(a) Resource-based Relative Value Scale (RBRVS)

186. A military medical insurance plan that is administered by the government is ?

(a) TRICARE

167. To properly void a check write "VOID" across the front and....

(a) a retain it with canceled checks, in numeric order

187. The specific amount specified by an insurance plan that the patient must pay toward the charges for professional services rendered is the ?

(a) copayment

183. Claims with a signed assignment of benefits are paid to the ?

(a) physician

191. A person who holds a health benefit

(a) subscriber

193. Administered by the Drug Enforcement Administration (DEA)

(b) Controlled Substances Act

194. Techniques that keep the practice, its environment, and procedures as safe for the patient as possible

(b) Risk management

172. When a bankruptcy notice is received in the office it is beneficial to ?

(b) submits a form to the court trustee

192. Which one of the following is an insurance claim processing error?

(b) using "rule out" diagnosis

184. 1n 2006, drug and prescription benefits were added allowing Medicare recipients the option of choosing, at a reduced cost, a plan that pays for prescription drugs with just a small co-payment from the patient. Beneficiaries choose the drug plan and pay a monthly premium. This option

189. A written authorization by the patient giving the insurance company the right to pay the physician directly for billed services is known as the ?

190. Workers' Compensation insurance provides benefits for ?

176. The name that follows the words "Pay to the order of" on a check is the ?

185. An example of a Medicare HCPCS code number is ?

(c)J0540

177. This bookkeeping entry occurs when a patient has paid in advance or when an overpayment or duplicate payment has been made

(d) credit balance

182. The term" total permanent impairment" means that the patient ?

(d) is unable to perform previous occupational duties.

178. It protects the insured in the event he or she is sued for claims that come within the coverage of the insurance policy

(d) liability insurance

175. If the total income for one month is $17,500 and the total expenses for the same month are $15,500, the profit and loss statement would show a ?

(d) net profit of $2,000

179. Once a delinquent account has been turned over to a collection agency, the physician office should

a. refers all inquiries to the collection agency

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