A CMAA is registering a new pt. Which action should the CMAA take to prevent the creations of a duplicate record in EHR

Search the database using the patient’s last and first names

A pt provides both private insurance card and a Medicaid card for an office visit. Which action should the CMAA take

Submit claim to private ins. first & then bill Medicaid the remaining amt

1.Which of the following questions should a CMAA ask the patient prior to scheduling a telehealth appointment?

a)“Do you have access to the internet”

A provider indicates to CMAA that she will be out of the office from 9 to 2 every Mon. and Wed. from May to Aug. Action?

Update the matrix to include the provider’s requested unavailability

Office protocol is to schedule pts every 15 min, but the clinical med asst is habitually late to the office after lunch.

a) Address scheduling and tardiness with the office manager

An established pt calls and states that her medication is causing an upset stomach. Which response should the CMAA make

“Let me transfer you to clinical staff. They can help you with this issue”

A CMAA is performing pt intake when another pt begins to yell at the CMAA about how long they have had to wait.

a) Show empathy toward the angry patient

1.Which of the following information should the CMAA enter into the carrier block of the CMS-1500 claim form?

a) The name of the patient’s health insurance plan

1.Which of the following duties is within the scope of practice for a CMAA?

a) Scheduling follow-up appointments

1.Which of the following tasks is within the scope of practice for a CMAA?

a) Assign procedural and diagnostic codes

A CMAA is interacting with a pt. Which of the following techniques should the be use when performing active listening

a) Allow for periods of silence to go uninterrupted

A provider will be arriving late to the office due to an emergency. What actions should the CMA take to after telling pt

a) Reschedule any patients who are unable to wait

A provider is unexpectedly called away for a family emerg. at 1300 and will be out of town rest of the day. CMAA should

Inform today’s pts that the provider is unavailable, & need to reschedul

A CMAA is interacting with a 4-year-old child. Which techniques should the CMAA use when interacting with this child?

a) Provide privacy and independence

1.A CMAA is presenting information to a patient who has low vision. Which of the following actions should the CMAA take?

a) Ensure the room has adequate lighting

1.A CMAAis scheduling a patient for a colonoscopy. Which of the following statements by the CMAA is appropriate?

“Ensure that someone is present to drive you home after the procedure”

When verifying a pt’s eligibility, a CMAA suspects they are using a false identity. Which actions should the CMAA ta

a) Report the suspicion to the insurance company

1.Which of the following statements is included in the Patient’s Bill of Rights?

a) The right to know and refuse treatment options

In which of the following circumstances is a patient’s original medical record removed from a provider’s office?

a) When the patient is deceased

CMAA receives correspondence from a third-party payer stating a claim has been denied due to a subscriber number.

Check the patient’s chart to confirm the subscriber number

1.A CMAA is composing a patient’s collection letter. Which of the following actions should the CMAA take?

a) Individualize the collection letter

1.According to HIPAA guidelines, which of the following is a patient’s right regarding her medical records?

a) The right to request that the facility amend her medical records

A CMAA is updating a patient’s demographic information. Which of the following questions should the CMAA ask?

a)“Do you still live at 126 Main Street?”

studbud

CMAA 0328 Review Part 1

101 termsStudBud Administration53 plays

Imported from external platform

Flashcards101 cardsFPractice quizPHost liveL

Questions 101

Answers

1
1.Which of the following is an example of positive nonverbal behavior?
a)Leaning backward
a) Keeping arms at the sides
a)Positioning oneself above a patient
a)Pointing a finger at a patient
2
Which of the following qualities is necessary to be an effective and productive team member in a health care setting?
a)Tardiness
a) Reliability
a)Independence
a)Detachment
3
1.Which of the following types of insurance reimburses the provider in full without billing the patient?
a)Medicare
a) Workers’ Compensation
a)Preferred Provider organization
a)Health Maintenance Organization
4
1.Which of the following patient information should a CMAA confirm on an encounter form for a new patient visit?
a)Emergency contact
a)Previous provider
a) Primary insurance
a)Daily medication
5
A CMAA is registering a new pt. Which action should the CMAA take to prevent the creations of a duplicate record in EHR
a)Verify the patient’s insurance
a)Verify the patient’s appointment time
a)Search the data base using the patient’s contact phone number
Search the database using the patient’s last and first names
6
A pt provides both private insurance card and a Medicaid card for an office visit. Which action should the CMAA take
Submit the claim to Medicaid first & bill the private ins. with reduced amt
Submit claim to private ins. first & then bill Medicaid the remaining amt
Submit claim to Medicaid and the private ins. at same time
Submit claim to private 1st & attach a coord. of bene. so will pass to med.
7
1.Which of the following questions should a CMAA ask the patient prior to scheduling a telehealth appointment?
a)“Do you have practice management software?”
a)“Does your computer have a backup device?”
a)“Does your computer have a word processing software?”
a)“Do you have access to the internet”
8
A provider indicates to CMAA that she will be out of the office from 9 to 2 every Mon. and Wed. from May to Aug. Action?
Block out the full days of the wk that the provider requested for time off
Send all pts notification of the change in the provider’s schedule
Redirect appts sched during the requested time off to clinical medial asst.
Update the matrix to include the provider’s requested unavailability
9
A CMAA intentionally codes for a service not provided on an insurance claim form. Which term describes this action?
a)Bundling
a) Fraud
a)Abuse
a)Upcoding
10
1.Which of the following is a periodic itemized account of charges and payments that is sent to each patient?
a)CMS-1500
a)Notice of Privacy Practices
a)Advance Beneficiary Notice
a) Account statement
11
1.Which of the following resources should a CMAA use to learn about a product or chemical used in a medical facility?
a)Center for Disease Control
a) Safety Data Sheets
a)Food and Drug Administration
a)CMS-1500
12
Office protocol is to schedule pts every 15 min, but the clinical med asst is habitually late to the office after lunch.
a) Address scheduling and tardiness with the office manager
a)Schedule time after lunch for administrative duties
a)Fill in as the clinical medical assistant until he arrives
Call clinical med. assistant after lunch to remind him that pts are waiting
13
1.Which of the following is an optical storage device?
a)Solid-state drive
a) Compact Disc
a)USB Flash Drive
a)Cable modem
14
An established pt calls and states that her medication is causing an upset stomach. Which response should the CMAA make
“Let me transfer you to clinical staff. They can help you with this issue”
“Go ahead & stop taking the meds. I will notify the provider about issue”
“Have you tried eating a small meal with the meds? Sometimes this helps”
That’s normal for a lot of meds. Be sure notify the provider at next visit
15
A CMAA is performing pt intake when another pt begins to yell at the CMAA about how long they have had to wait.
a)Ask the angry patient to sit down
a)Ignore the angry patient and continue performing patient intake
a) Show empathy toward the angry patient
a)Point out the angry patient’s aggressive behavior
16
Which of the following was created to ensure that patients can participate in treatment decisions?
a)Patient’s Bill of Rights
a) Affordable Care Act
a) ADA
a) HIPAA
17
Which of the following is an example of demographic information that should be acquired from the patient during intake?
a)Complete physical examination
a) Date of birth
a)Present illness
a)Laboratory reports
18
1.Which of the following information should the CMAA enter into the carrier block of the CMS-1500 claim form?
a)The name of the guarantor
a) The name of the patient’s health insurance plan
a)The name of the referring provider
a)The name of the other insured party
19
Which information should a CMAA verify on the encounter form before a claim is submitted to a third-party payer?
a)Date of first encounter
a) Diagnostic code
a)Patient address
a)Prior authorization
20
Correspondence between a provider and a pt who is being discharged from the practice should be sent using what mail
a)First-Class Mail
a)Media Mail
a) Certified Mail
a)Priority Mail
21
Which charges could be filed by a pt if a provider performs an invasive exam without obtaining informed consent prior
a)Negligence
a)Libel
a) Battery
a)Assault
22
1.Which of the following duties is within the scope of practice for a CMAA?
a)Administering vaccinations
a)Performing EKGs
a) Scheduling follow-up appointments
a)Determining provisional diagnosis
23
A pt is reviewing their prescription and asks the CMAA, “What does “PO” mean?” Which response should the assistant make
a)“Before meals”
a)“Twice a day”
a) “By mouth”
a)“As needed”
24
1.Which of the following tasks is within the scope of practice for a CMAA?
a)Interpret laboratory test results
a) Assign procedural and diagnostic codes
a)Recommend over-the-counter medications to patients
a)Triage patients during disaster response
25
A pt has not been to the medical facility in the past 3 years. The CMAA should classify the pt’s status as
a) New
a)Follow up
a)Outpatient
a)Established
26
A CMAA is interacting with a pt. Which of the following techniques should the be use when performing active listening
a) Allow for periods of silence to go uninterrupted
a)Avoid direct eye contact
a)Check the time on a wristwatch
a)Maintain a blank expression
27
1.Which of the following is an example of a patient identifier?
a)Test results
a) Phone number
a)Allergies
a)Prescribed medications
28
A provider will be arriving late to the office due to an emergency. What actions should the CMA take to after telling pt
a)Refer patients to an urgent care center
a)Reschedule patients with a different office
a) Reschedule any patients who are unable to wait
a)Block out the matrix for the provider for the rest of the day
29
A provider is unexpectedly called away for a family emerg. at 1300 and will be out of town rest of the day. CMAA should
Inform the pts in the waiting room that they have been assigned another dr
Inform today’s pts that the provider is unavailable, & need to reschedul
Call tom.’s scheduled pts & let know that provider will not be available
Call pts and let know that provider has a family emergency & will be out
30
A CMAA is interacting with a 4-year-old child. Which techniques should the CMAA use when interacting with this child?
a)Encourage responsible decision making
a)Provide informational pamphlets to child’s parents
a) Provide privacy and independence
a)Encourage questions
31
A CMAA should inform a pt to expect to receive auth. for an urgent referral to a specialist within the what time frame.
a) 24 hr
a)3 days
a)Immediately
a)5 days
32
During sign-in, a patient indicates they have moved. In which location should the CMAA update the pt's address
a)Appointment book
a) Patient registration form
a)Disclosure authorization form
a)Records release authorization
33
A CMAA is reconciling charges and notes a remaining amount. Which of the following terms describes this amount?
a) Patient refund
a)Superbill
a)Adjustment
a)Patient balance
34
Government-sponsored health programs has eligibility requirements and benefits that vary widely from state to state
a) Medicaid
a)Medicare
a)CHAMPVA
a)TRICARE
35
1.A CMAA is presenting information to a patient who has low vision. Which of the following actions should the CMAA take?
a)Provide written materials in 12-point font
a)Speak in a loud tone of voice
a) Ensure the room has adequate lighting
a)Stand within 0.3m (1ft) of the patient
36
1.A CMAAis scheduling a patient for a colonoscopy. Which of the following statements by the CMAA is appropriate?
“Ensure that someone is present to drive you home after the procedure”
“Bring a stool sample with you to the procedure”
“Expect to stay overnight in the facility after the procedure”
“Maintain a liquid diet on the day of the procedure”
37
When verifying a pt’s eligibility, a CMAA suspects they are using a false identity. Which actions should the CMAA ta
a)Keep the patient’s documentation and call the police
a) Report the suspicion to the insurance company
a)Ask a family member to verify the patient’s identity
a)Waive the eligibility for the visit and check the patient in
38
1.Which of the following systems is a centralized collection of patient information from many systems?
a)Personal Health Record
a) Electronic Health Record
a)Practice Management System
a)Electronic Medical Record
39
1.Which of the following statements is included in the Patient’s Bill of Rights?
a)The right to see their primary care provider without payment
a)The right to obtain their physical medical record
a)The right to correct true but unflattering documentation
a) The right to know and refuse treatment options
40
In which of the following circumstances is a patient’s original medical record removed from a provider’s office?
a) When the patient is deceased
a)When the provider is seeing the patient in an emergency department
a)When a insurance carrier is conducting an internal audit
a)When a subpoena has been issued
41
CMAA receives correspondence from a third-party payer stating a claim has been denied due to a subscriber number.
Bill the patient for the claim balance
Verify the subscriber number with the patient’s employer
Check the patient’s chart to confirm the subscriber number
Have the pt call his insurance carrier to confirm the subscriber number
42
1.Which of the following information does practice management software track?
a)Vitals
a) Appointments
a)Progress Notes
a)Allergies
43
When using SOAP format, a provider recommendation for a follow-up appt can be found in which section of the pt progress
S
P
A
O
44
1.Which of the following is a condition that affects the upper digestive tract?
a)Appendicitis
a)Cirrhosis
a)Pancreatitis
a) Dysphagia
45
1.A CMAA is composing a patient’s collection letter. Which of the following actions should the CMAA take?
a)Imply that every patient has the same situation
a)Send a collection letter to the patient weekly
Ask a clinical medical assistant to approve and sign the collection letter
a) Individualize the collection letter
46
A CMAA is creating a provider’s schedule to show her monthly availability. Which of the following is the CMAA creating?
a)Tickler file
a)Template
a)Spreadsheet
a) Matrix
47
1.Which of the following provides precertification for a procedure?
a)Provider
a)Hospital
a)Surgical Center
a) Insurance Company
48
1.Which of the following is permitted as part of the typical professional dress code for medical assistants?
a)Perfume or cologne
a) Wristwatch
a)Chain necklace
a)Jeans
49
1.According to HIPAA guidelines, which of the following is a patient’s right regarding her medical records?
a)The right to add personal documentation to her medical record
a) The right to request that the facility amend her medical records
a)The right to remove her medical record from the facility
a)The right to have her medical record destroyed
50
A CMAA is updating a patient’s demographic information. Which of the following questions should the CMAA ask?
a)“Have you had any surgeries in the past year?”
a)“Which pharmacy would you like your medications sent to?”
a)“Do you have any drug allergies?”
a)“Do you still live at 126 Main Street?”
51
A CMAA is coding an outpatient surgical procedure. Which reports should the CMAA refer to when performing this task?
a) Operative report
a)Discharge summary
a)Laboratory report
a)Pathology report
52
1. In which of the following ways can a CMAA ensure security compliance in a electronic health records system?
a) Keep the system logged out when not in use
a)Have patient electronically sign acceptance waivers
a)Maintain existing paper records for 5 years
a)Scan existing patient records into the system
53
1.Which of the following describes an encounter form that is attached to the patient’s electronic health record?
a)Discharge summary
a)Registration form
a)History & Physical exam
a) Superbill
54
1.Which of the following specialists would a patient visit following an abnormal electrocardiography?
a)Pulmonologist
a)Oncologist
a) Cardiologist
a)Radiologist
55
1. Which of the following title formats is correct for an inside address?
a)Dr. Johnson. Michael, M.D.
a) Michael Johnson, M.D.
a)Johnson, Michael, M.D.
a)Mr. Michael Johnson, M.D.
56
A CMAA receives a call from a pt who asks how to discard a prescribed med that is a controlled substance Who to call
a)World Health organization
a) Drug Enforcement Agency
a)Consumer product Safety Commission
a)Centers for Disease Control and Prevention
57
1.Which of the following completed form authorizes a patient’s insurance company to reimburse the provider directly?
a)Advance Directives
Assignments of benefits
a)Advance Beneficiary Notice
a)Release of Information
58
A CMAA takes a phone message regarding a pt who is ill. Which info should the CMAA include in the relayed message?
a)CMAA’s initials
a) Patient’s address
a) Guarantor’s phone number
a) Insurance information
59
A CMAA is ordering pt education materials for a provider’s office. Which should the CMAA select for this purpose?
a) Literature that includes example pictures
a)Handouts that maximize the amount of information by using small print
a)Articles written using scientific terminology
Materials devel. by pharma. comp. that cont. advertise. for relevant meds
60
1.Which of the following websites should a CMAA provide a patient with for information on cardiac disease?
www.diabetes.org
www.heart.org
www.drugs.com
www.wikipedia.org
61
1.A patient requests their medical record. Which of the following actions should the CMAA take?
Ask the patient to sign a release form before making a copy of the record
Release the original record to the patient within 72 hours
Instruct the patient to relay their request through their attorney
Direct the pt to send in notarized request with payment for copying charge
62
A pt who started antibiotics several days earlier calls the office and states she has developed a rash. Which action
a)Refer the patient to an emergency department
a) Forward the patient’s message to the provider
a)Recommend that the patient call the pharmacist
a)Advise the patient to stop taking the medications
63
A provider prescribes lab tests not considered medically necessary by Medicare. Which form should the CMAA provide
a) Advance Beneficiary Notice
a)Assignments of Benefits
a)Medicare secondary payer questionnaire
a)Informed consent
64
1.Which of the following actions should a CMAA take when obtaining a signature on an informed consent document?
a)Witness the patient signing the form after the procedure
Have pt sign consent form after verbalizing understanding of the procedur
Ask the pt to read and sign the consent form prior to seeing the provider
Request the patient mail the form back to the office after signing it
65
1.Which of the following forms includes information about a patient’s lifestyle?
a)Past history form
a)Family history form
a) Social history form
a)Review of systems form\
66
1.Which of the following terms describes an employee who arrives to work on time every day?
a)Poised
a)Precocious
a)Loquacious
a) Punctual
67
A CMAA is confirming inform. the office has on file for a pt who is making an appt. If the advanced directive is missin
I will give you some inform., so you’ll understand rights about adv. dir
We will postpone your appt until you provide us with copy of advance direct
“You’ll need to sign a waiver refusing to have advance directives on file”
You’ll need to contact the office manager to prepare your advance directive
68
A CMAA is informed that 2 providers will be out of the office for 3 day conference. Which of the action should the CMAA
Share the conference information with the other providers in the office
Erase the appointments scheduled on those days
Send a letter to inform patients about the provider’s absence
Block the schedule for the days the providers will be at the conference.
69
1.Which of the following is an OSHA standard related to healthcare?
a) Bloodborne pathogens
a)Controlled Substance Act
a)Immunization records
a)Clinical Laboratory Improvement Amendments
70
CMAA is having difficulty understanding a clinical office staff member who is wearing a face mask. Which actions should
a) Tell the staff member to speak up
a)Ask the staff member to remove their face mask
a)Continually ask the staff member to repeat themselves
a) Use active listening with the staff member
71
Which designates an individual to be entrusted with the medical decision-making capabilities for an pt that can not
a)Informed consent
a) Advance Directives
a)Uniform Anatomical Gifts Act
a)Patients’ Bill of Rights
72
1.Which of the following is the correct term for diagnosing a patient who presents with a runny nose?
a)Bronchitis
a) Rhinitis
a)Cystitis
a)Laryngitis
73
1.A CMAA is working on a claim that has been rejected. Which of the following actions should the CMAA take?
a)Advise the patient to contact their insurance provider
a)Post contractual adjustment to the patient account
a)Notify a collection agency of the balance
a) Resubmit the claim as soon as possible
74
A CMAA is interacting with a pt who has hearing loss. Which techniques should the CMAA use when providing coaching to pt
a) Ask the patient to repeat back information
a)Speak in a high-pitched voice
a)Use exaggerated hand gestures when speaking
a)Stand behind the patient when speaking
75
1.Which of the following documents includes the ICD-10-CM codes and charges?
a)Aging report
a)Remittance advice
a) Encounter form
a)Precertification form
76
After an attorney requests med. records, the CMAA releases the records without authorization. Which term describes this
a)Respondent superior
a)Misfeasance
a)Malfeasance
a) Res ipsa loquitur
77
1.Which of the following is an advantage of an electronic health record related to patients’ therapeutic medications?
Reduces costs
a)Includes demographic information
a) Provides for continuity of care
a)Includes the number of times the patient has been seen
78
1.Which of the scenarios require a patient to provide their identification?
a)Stopping by the desk to make an appointment
a) Checking in for Influenza Vaccine
a)Coming to the office to pick up a urine specimen container
a)Visiting the office to make a payment
79
A pharma. rep. has an appt with a provider. The provider has an emergency at the hospital. Which of the following
Ask a nurse to inform the rep. that the provider will not be able to keep
Have the representative meet with a laboratory assistant
Send a message to inform the provider that the rep. is in the office
Privately inform the rep the provider will not be able to keep the appt
80
1.When explaining the Patients’ Bill of Rights to a patient , the CMAA should include which of the following rights?
a)To refuse payment for services
a)To receive a service the provider deems unnecessary
a) To receive emergency services without prior authorization
a)To set limits on the amount of time spent waiting for services
81
charge for visit is $68, $44 is allowed. fee for the lab work is $82, $56 is allowed, pt has 80/20 plan what is ins resp
80
a)$20
a) $120
a)$150
82
A CMAA is updating a patient’s demographic information. Which of the following questions should the CMAA ask?
a)“Do you still live at 126 Main Street?”
a)“Which pharmacy would you like your medications sent to?”
a)“Have you had any surgeries in the past year?”
a)“Do you have any drug allergies?”
83
1.When should a CMAA document a petty cash transaction?
a)Before the end of the week
a) Following each transaction
a)Following the last transaction of the day
a)Before the month-end report
84
1.A CMAA is interacting with a patient who has a hearing loss. Which of the following actions should the CMAA take?
a)Direct their comments towards the patient’s family member
a)Speak with a high pitched voice
a)Stand behind the patient when speaking
a) Limit extra noises in the environment
85
1.Which of the following duties is within the scope of practice for a CMAA?
a)Assisting during physical exams
a) Managing facility correspondence
a)Providing point-of-care testing
a)Acting as a patient advocate
86
1.For which of the following reasons should a CMAA print out and review a daily appointment schedule in advance?
a)To begin processing prior authorization
a) To ensure the charts are prepared
a)To estimate petty cash needed
a)To predetermine the amount of daily copayments
87
A pt is referred to a specialist for a procedure. Which steps should the CMAA take to acquire payment for the procedure
a)Obtain receipt of Notice of Privacy Practices
a) Obtain preauthorization
a)Schedule the procedure the same day
a)Schedule the procedure within 2 weeks of the referral
88
1.An encounter form is updated annually based on which of the following code sets?
a)Qualifier identification codes
a)Place of Service codes
a) Current Procedural Terminology codes
a)Taxonomy codes
89
1.Which of the following actions should a CMAA take when scheduling an outpatient surgical procedure?
a)Explain the risks of the procedure to the patient
a) Give the patient any special instructions
a)Tell the patient the cost of the procedure
a)Have the provider call the patient
90
1.A CMAA discovers an error on a patient’s health record. Which of the following actions should the CMAA take?
a)Circle the incorrect information
a) Add an addendum to correct the information
a)Delete the incorrect information
a)Hide the incorrect information
91
1.Which of the following actions should the CMAA take to ensure that patient intake forms have been completed?
Call the patient the day after their appointment to review their info
Repeat the patient’s information back to patient at the front desk
a)Ask the provider to confirm the patient’s information during the visit
a) Review and verify the patient’s information
92
1.Which of the following is necessary for a provider to prescribe and dispense controlled substances?
a)Provider identifier number
a)UPIN
a) DEA number
a)Medical license number
93
An established pt becomes upset when a CMAA requests copayment prior to tx. Which of the actions should the CMAA take
a) Review the office policy with the patient
a)Offer the patient a cash discount
a)Waive the copayment
a)Refer the patient to the insurance carrier
94
1.Which of the following filing systems only uses patient’s names to organize health records?
a)Numeric
a) Alphabetic
a)Color-coded
a)Subject
95
A pt requests that her most recent lab results be sent to her gynecologist’s office. Which documents must included with
a)Financial policy
a)HIPAA release
a) Record release
a)Informed consent
96
1.In the medical term antepartum, the prefix “ante” means which of the following?
a)After
a)Against
a) Before
a)Below
97
1.Which of the following maintains a standardized list of symbols that are unacceptable to use in the medical field?
a)Centers for Medicare & Medicaid Services
a)HIPAA
a)National Committee for Quality Assurance
a) The Joint Commission
98
Which of the following methods describes the best practice for informing waiting patients about delays?
Have patients escorted to examination rooms, and inform them of the delay
Explain to pts that there will be a delay, & offer the option to resch
Inform the pts as they check in that they will be seen as soon as possible
Post a written notice on the reception window to see the CMAA
99
Which of the following documents includes the final diagnosis of a pt who has melanoma after they leave a hospital ?
a)Pathology report
Encounter form
a) Discharge summary
operative report
100
A CMAA is making a payment arrangement contract with a pt who is scheduled for an elective procedure. Legislative act?
a)Good Samaritan Act
a)Fair Credit Reporting Act
a) Equal Credit Opportunity Act
a)Truth in Lending Act
101
A pt has met $100 of his ins. plan’s $200 deductible. Which of the following percentage amounts does the patient owe?
a) 50%
a)80%
a)25%
a)10%

CMAA 0328 Review Part 1 Flashcards | StudBud