Topic 2 MA TPA Administrative Examination
a coordination of benefits Clause is included in most insurance policies. the purpose of this is to:
b. prevent overpayment of benefits beyond the cost of the medical service c. prevent duplication of benefits for the same medical expense d. ✓ both B and C
the primary care provider hands the medical assistant a referral for a patient to get an MRI. which of the following should the MA do first?
call the insurance company and process and authorization
the provider gives the ma a referral for the patient to get a CAT scan which of the following steps should the MA do First?
call the insurance company in process and authorization
a physician business share in a medical practice (owner's equity or proprietorship) is also called:
capital
change for a patient who pays cash is made from the:
cash drawer
when a patient has a dual insurance plan working together to determine payment that is called:
coordination of benefits
which of the following forms should always be included when sending a fax originating from the medical office?
cover sheet
trust in regard to financial obligation is known as:
credit
in addition to cash and checks larger medical practices May accept payment by means of:
credit cards
the range of usual fees charged by doctors in the same locality is called:
customary fee
the transfer of information such as patient eligibility, claim status and authorizations are adressed under the HIPAA administrative simplification and compliance act as electronic:
data interchange
the type of software program that a patient's name, address, phone and insurance is entered into is:
database
a receipt for deposit issue by the bank is known as:
deposit record receipt
which of the following is a way to find out what a particular procedure costs:
divide the total expenses for one month by the number of procedures performed in that month
which of the following are posting errors:
a. figures in the wrong column b. a sliding number c. transposed numbers ✓d. all of the above
the printed information after the title and before the text in journal articles which facilitates evaluation of the content relevance for reader is the:
abstract
amount owed to creditors for regular operating expenses of a business are known as:
accounts payable
when setting up a daily Matrix for appointment scheduling leave daily time slots open for:
acutely ill patients
professional discounts courtesy adjustments and disallowance by insurance companies are examples of:
adjustments
the subject in a letter is placed:
after the salutation
an analysis of accounts receivable indicating 60 90 and 120 days delinquency is known as:
aging accounts
the medical assistant perform daily accounts receivable procedures in the medical office to identify:
amounts owed to the physician
cash, inventory, furniture, and Equipment are types of:
assets
if a medical assistant accidentally opens a piece of personal mail to his or her employer he or she should:
fold it and put it back in the envelope and right across the outside "opened an error".
which of the following is the most appropriate action to take when there is a delay in the physician schedule:
give patients an estimate of delay and options to deal with delay
scheduling patients with the same medical problem on the same day is:
grouping or categorization scheduling
computer backups should be stored:
in a separate location
which of the following types of patient file classification uses the timeframe of 6 months or longer:
inactive files
the tax deducted from an employee's gross income based on the number of withholding exemptions and amount earned for a pay period is called:
income tax withholding
the modified block letter format each paragraph is:
indented five (5) spaces
a patient should be roomed at arrival if they have the following:
influenza
which of the following is required for permission to treat a patient scheduled for a complex procedure?
informed consent
step by step instructions that tell the computer hardware what to do are the:
software
which of the following act states that if a physician agrees to extend credit to one patient the same financial statements must be extended to all patients who represent it:
the Equal Credit Opportunity Act
Federal Regulations require that a sign be posted in the office to inform patients of:
their right as a patient
most Medical Offices have a policy on how to handle no-shows termination of this type of patient is often the review policy when the patient has been a no-show for:
three appointments in a row
the office assistant is told to schedule a new patient for an office visit and a multi provider office. the policy is for patients to arrive 30 to 45 minutes prior to their appointment to complete patient history forms. which of the following is the most efficient scheduling technique for this office?
time-specified scheduling
which of the following types of medical coverage allows participating doctors to have the option of deciding whether to accept patients on a case-by-case basis:
✓A&B a. champus/Tricare b. CHAMPVA
proper medical record entries are necessary as they are used for:
legal documentation
the medical assistant should stamp checks with the restrictive endorsement for deposit only to prevent:
loss or theft
to protect against loss of information processed on a computer the medical assistant should:
make backup copies
a _____ is readily available for minor office expenses:
petty cash fund
one of the most common ways of collecting overdue account is:
phoning a patient to let them know a payment is due
what type of banking allows instant transfer of funds from a bank account at the time of purchase is made at a stationary store gas station Etc:
point-of-sale banking
when taking a telephone message you should have a list of:
questions concerning a patient's condition
examples of accounts payable would be:
rent, utilities, payroll
which of the following type of check endorsement would include the words "for deposit only":
restrictive endorsement
examples of insurance abuse include which of the following:
A. excessive charges for services B. misrepresenting the diagnosis to justify payment C. falsifying certificates of medical necessity ✓All of the above
to access a large amount of information offline such as in office catalogs or charts one would most likely use the following:
CD-ROM Optical disk
the universal claim form for physician billing is known as
CMS 1500
which of the following is the largest provider of medical information to professionals and consumers:
National Library of Medicine
which of the following phone calls should be handled first:
a patient complaining of chest pain or shortness of breath
registered mail is used when you are sending:
a priority mail package that is valuable
the Medicare summary notice (MSN) includes which of the following information items:
a. amount billed by provider b. amount approved and Allowed by Medicare c. amount paid by Medicare d. ✓all of the above