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Duplicate of Administrative Medical Assisting Flashcards | StudBud
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Duplicate of Administrative Medical Assisting
Duplicate of Administrative Medical Assisting
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1
Discontinuing medical care without giving the proper notice or providing a competent replacement provider.
Rejection
Abandonment
Capitation
Add ons
2
If medical records are scanned into the computer, what do you do with them after?
Shred them on site
Shred them, but put them back together after
Tear them in half and throw in trash
Throw them into recycling bin
3
A patient with Parkinson's Disease would see which specialist?
Urologist
Endocrinologist
Nephrologist
Neurologist
4
Which of the following must be provided to a patient on a first visit, as required by HIPAA?
Notice of Privacy Practices
An authorization form
Patient's Bill of Rights
A consent form
5
This is when one physician requests the advice or opinion of another physician
PCP
Referring physician
Consulting physician
Attending physician
6
Which provider specializes in the treatment of interstitial cystitis?
Cardiologist
Immunologist
Urologist
Pathologist
7
Billing and collections is important to the medical field because?
it keeps the front of the office staff busy
it increases the office A/P
it keeps the A/R up
it produces cash flow for the office
8
If a physician treats a patient at the hospital, the medical biller should use ____ form.
Enounter
Transaction
CMS-1500
UB04
9
Which patient visit requires the most amount of time allotted on the schedule?
physical exam
sore throat
immunization
UTI (urinary tract infection)
10
When is the patient placed in an examination room?
after the patient's name and DOB has been verified
after all front office paperwork has been completed
before the patient has completed signing the necessary forms
immediately after entering the waiting room
11
HIPAA requires patients to have a standardized identifier in order to recieve medical services.
False
True
12
which filing systems is best for protecting the confidentiality of the patient?
color-coded
alphabetic
numeric
geographic
13
MA prepared a referral for a patient reporting symptoms of vertigo to which specialist?
Ophthalmologist
Anesthesiologist
Neurologist
Otolaryngologist
14
What are the administrative functions of an office?
Cleaning office
Performing drug testing
Billing & record keeping
15
Medical Assistants work is includes administrative and selected ______tasks.
Nursing
Laboratory
Practical
Clinical
16
drawing a patient blood without his or her permission can result in a charge of
breach of confidentiality
malpractice
negligence
assault and battery
17
best method for communicating with an elderly patient would be to
avoid eye contact
speak loudly
use medical terminology to explain information
encourage questions
18
when is the most appropriate time to discuss payment arrangements with a new patient?
when statements are sent out
at the time of the first visit
when the insurance form is processed
when the pt call to make an appt
19
Each patient is given a specific appointment time is called?
time-specified (stream) scheduling (single booking)
wave scheduling
modified wave scheduling
double booking
20
A patient should sign what form to authorize payment to provider from third-party-payer?
Advance beneficiary notice (ABN)
Assignment of benefits
Accept assignment
Notice of privacy Practices (NPP)
21
Schedule type when a provider see's referral pt's on Thur. and pt's who need physicals on Fri.
Open hours
Modified wave
Clustering
Multitasking
22
Unauthorized release of confidential patient information is called
a type of negligence
failure to use due care
violation of discovery
invasion of privacy
23
WHICH OF THE FOLLOWING DOES A PATIENT SIGN TO ALLOW PAYMENT TO BE SENT TO THE PROVIDER?
ASSIGNMENT OF BENEFITS
ADVANCE BENEFICIARY NOTICE
ADJUDICATION OF CLAIM
RELEASE OF INFORMATION
24
When dismissing a patient from the clinic the letter should be sent:
insured
certified
first class
special delivery
25
Who provides feedback on your work performance in a medical office?
The office manager
your coworkers
The physician
any/all of the above
26
CMS
Centers for Medicare & Medicaid Sources
Centers for Medical & Medicaid Services
Centers for Medical & Medicare Services
Centers for Medicare & Medicaid Services
27
in order to terminate a contract with a pt, the provider should
call the pt on the phone and inform him or her
none of the above, provider can't terminate a contract
notify the pt in writing
call the pt insurance company
28
Obtaining vital signs against a patient's will
Assault
Fraud
Negligence
Battery
29
What is the one of the best ways to clarify what the patient is trying to say?
be silent and wait for further explanation
ask the patient specific closed questions
make best guess regarding what the patient said
paraphrase - put patient's meaning into your own words
30
What should the MA do to make sure no appointments are scheduled while a provider is away?
Erase the appointments scheduled on those days
Send a letter to inform pt's about the providers absence
Block the schedule for the days the provider will be gone
Share the conference info w/ other providers in the office
31
A COPAY IS THE PATIENT'S SHARE OF THE INSURANCE PREMIUM
FALSE
TRUE
32
What would a medical assistant due with a CMS 1500 form?
record medical history
file for insurance reimbursement
get consent for a surgical procedurre
request a consult
33
which would appear in past history section of a patient's medical history
review of symptoms
insurance carrier
chief complaint
hospitalizations
34
A patient calls to cancel an appointment. This should be noted by:
All answers are correct
Writing "Cancelled" in the appointment book
Documenting the cancellation in the patient's chart
Sending a letter and confirming the cancellation
35
...requires a provider to disclose finance charges when extending credit to applicants?
Fair Credit Billing Act
Truth in Lending Act
Equal Credit Opportunity Act
Fair Debt Collection Practices Act
36
Which section of SOAP would a provider document treatment with an antibiotic?
P
A
O
S
37
which reference should be used to determine the code for a patient consultation
CMS
HCPCS
ICD-10
CPT
38
Which of the following is an administrative skill?
interpreting blood sugar results
observing range of motion exercises
scheduling a coagulation test
charting patient's temperature
39
Which one sets the minimum standards for medical laboratory practice and quality?
CILIA
CDC
CLIA
OSHA
40
A new patient is defined as one who has NOT seen the provider within the last
four years.
two years.
one year.
three years.
41
Which filing system provides the most patient privacy
geographic
Alphabetical
Subject
Numerical
42
ICD-9 & ICD-10 are...
Codes used to block viruses
Classification of diseases made by WHO
Random characters
Universal diagnostic codes made by WHO
43
A "self-pay" patient is one who
is a dependent of the policyholder.
is not the policyholder.
is uninsured.
owes a copayment.
44
A patient's bill was sent to collections. You then get a check from the patient. You should:
Keep the check and say nothing to the collections agency
turn the check over to the collections agency
reverse the decision to use collections for this bill
mail the check back to the patient to give to collections
45
which new patient form becomes part of the patients medical record
encounter
health history
consent
authorization
46
When a pt calls and asks to speak to the provider, never say:
The doctor is with a patient now
The doctor is busy.
Is there anything I can help you with?
May I take a message and we will reply as soon as possible?
47
Select the least number of years a provider should store medical records
20 years
15 years
5 years
10 years
48
What method is used to notify a provider of the denial of a claim?
Remittance advice
CMS-1500 claim form
Eligibility for insurance
Explanation of benefits
49
Insurance companies typically require patients to obtain a __ before they can see a specialist
Referral
Consultation
Waiver
Diagnosis
50
Scheduling a patient with decreased renal function, which test would you schedule?
BUN
WBC
TSH
LFT
51
A provider must use an identifier called ____as part of HIPAA's Administrative Simplification
National Provider Identifier (NPI)
National Security Identifier (NSI)
Employer Identification Number (EIN)
Social Security Number (SSN)
52
Which requires a referral from a PCP to schedule an appointment with specialist?
Pay-for-performance
Preferred provider organization (PPO)
Exclusive provider organization (EPO)
Health maintenance organization (HMO)
53
If a patient calls to cancel his/her appointment the Medical Assistant must:
Express regret
All answers are correct
Discourage cancellations sternly
Immediately offer a new appointment
54
what is the primary purpose of a patient medical record filing system?
to make document retrieval easier
to organize documents available to all staff members
to protect the confidentiality of the pt
to make documents available to all staff members
55
An Electronic Medical Record
Replaces nurse's thinking
Serves as a substitute for nursing judgement
Does not enhance the ability for retrospective reviews
Reflects the quality of direct care and nurse's thinking
56
what do you do to convey an open posture while communicating with a patient?
fold your arms, lean forward while looking into the pt eyes
lean back gently facing the patient
lean forward in your chair facing the patient
lean forward and avoid eye contact with the patient
57
Provider refers pt for eval of elevated WBC count Which following specialist should MAA contact
nephrologist
cardiologist
hematologist
pulmonologist
58
the physician prescribes a buccal med, the MA should instruct the patient to
place the med between the lower teeth and cheek
placing materials in leak-proof container during collection
at the carotid artery of the neck
check med rec 2 C if husband is auth on Mrs HIPAA
59
administrative duties
total input and otput records once a shift
answer phones
incident records
maintaining patient records
60
A patient is scheduled for the removal of their gallbladder. They will have a ?
Cholecystitis
Cholecystography
Cholecystectomy
Cholecystogram
61
Which of the following patient information is required on the encounter form?
Employer
Guarantor
Marital status
Account number
62
the patient's specimen is lipemic. this is usually an indicator that the patient is
not fasting
bilirubin
indirect contact
sanitization
63
Which section of SOAP would a provider document a diagnosis?
A
P
S
O
64
which specialist diagnoses and treats disorders of the stomach and intestines?
gastroenterologist
gerontologist
podiatrist
internist
65
A copay is:
A type of co-insurance
Part of your deductible
Paid by your insurer
A flat fee for a covered service
66
who completes the patient's medical history form?
the patient
the patient, the MA, and the physician
the insurance company
the patient's immediate family
67
Payment by the patient that most be covered before insurance kicks in to cover medical cost?
Deductible
Taxes
Premium
Copayment
68
Which of the following is the name for the patient's encounter form?
UB-04
CMS-1500
superbill
Invoice
69
Which of the following duties is a medical assistant allowed to preform independently?
record vital signs
give medical advice
prescribe medication
provide medication samples
70
What information must be obtained from a new patient for billing purposes?
whether the patient smokes cigerattes
the type of medical insurance and coverage
the patient's work schedule
the patient's past medical history
71
Which office procedures is outside the scope of practice for a medical administrative assistant?
Signing for a court-ordered subpoena issued forthe office
Distributingintra-office mail to team members
Signingfor a shipment of personal protective equipment (PPE)
.Disturbing petty cash for out-of-pocket expenses
72
according to the Patient Care Partnership, which of the following is a patient right?
to obtain information about family member's healthcare
to expect continuity of care
to waive payment if treatment is unsatisfactory
to participate in research without informed consent
73
What are four magic words when dealing with an angry patient?
Please don't be mad.
Try to calm down.
Let me help you.
It will be okay.
74
Before you proceed with a patient interview, you should obtain
signs and symptoms
chief complaint
social and family history
any visible injuries
75
Which of the following informs a patient what the patient will pay for services?
Billing statement
Remittance advice
Financial policy
Superbill
76
Document explaining to the provider & patient: allowable, written off , & coinsurance amounts?
Explanation of insurance
Submitted claim
Insurance claim
Explanation of benefits
77
What referral will be given to an older, disabled patient with a lesion on her arm?
Hospice care
Home health care
Diagnostic services
Rehabilitation services
78
Rendering care to a patient without consent could result in a charge of:
Abuse
Libel
Slander
Battery
79
A patient with an arrhythmia needs to see which specialist?
Cardiologist
Nephrologist
Pathologist
Pulmonologist
80
Insurance Plan that pays medical and disability benefits to workers injured on the job
medicare tax
Worker's Compensation
Gross Pay
health insurance
81
Meeting of a patient with a physician or medical professional for the purpose of providing care
Exam
Interview
Visit
Encounter
82
Patient sees a specialist for hyperthyroidism. The CCMA should consult which of the following:
Urology
Cardiology
Gastroenterology
Endocrinology
83
What is the role of the patient navigator prior to the patient seeing the provider
obtain a basic history including medication use
preform any needed tests that are due
Conduct a preplanning visit to assist with the visit agenda
All of the above
84
Which of the following telephone calls from a patient should not be charted?
A request to change an appointment time
A medication refill request
A request for a referral to a specialist provider
The patient's report that symptoms have disappeared
85
If a patient's check bounces, whom do you notify first?
the patient's bank
the clinic's bank
the patient
the provider
86
The Notice of Privacy Practice of the medical office is given to
Patient who are seen for annual physicals
All patients seen in the medical office
Patients who are referred from a different medical office
Patients who are seen on a regular basis
87
Voluntary supplemental medical insurance to help pay for physicians' and other medical professionals' services
Medicare Part C
Medicare Part D
Medicare Part A
Medicare Part B
88
An established patient is defined as one who has seen the provider within the last
three years.
one year.
two years.
four years.
89
How is patient confidentiality maintained related to the daily schedule?
do not post the schedule in areas to which pts have access
accompany pts at all times when walking through the office
use a number syst. instead of name syst. for daily schedule
create only one copy of the daily appt. schedule
90
A patient has a diagnosis of hypertension. Which describes this?
High blood pressure
High blood glucose
Low blood pressure
Low blood glucose
91
the patient information sheet contains
percentage of charge
pt personal and insurance information?
hematopoiesis
tests for the presence and amount of substance in sample
92
What is a reason a claim submitted for a specialist may be denied?
The pt previously submitted a self-referral
The services is provided after the expiration date
The approved visits are listed in the authorization section
The NPI number is not included in the authorization
93
WHICH OF THE FOLLOWING IS INCLUDED IN THE RELEASE OF PATIENT INFORMATION?
EMERGENCY CONTACT SIGNATURE
THE DATE OF THE LAST DISCLOSURE
THE DATE OF THE MOST RECENT CLINICAL EXAM
PROVIDER'S SIGNATURE
94
which reduces patient satisfaction with a medical practice?
overbooking
discussing fees
explaining the risks and benefits of a procedure
taking notes wile interviewing the patient
95
Advantages of Electronic Medical Records are
Multiple practitioners have access at the same time
All of the above
Improved legibility, accuracy and completeness
Remote access, patient safety by use of alerts & prompts
96
Which of these are legally responsible for the outcomes of a medical assistant's duties and performance?
Registered Nurse
Office Manager
Family Practitioner
Pharmacy Technician
97
How could the medical assistant show empathy for a patient?
tell the patient about his/her own problems
make no comment in order to avoid embarrassing the patient
acknowledge patient's feelings
express sympathy for patient's problems
98
A provider refers a patient with carcinoma to a specialist. The appointment is made with a
Gastroenterologist
Endocrinologist
Oncologist
Pulmonologist
99
Which professionals assists patients with improving mobility, strength and range of motion?
Physical therapist
Radiology technician
Emergency medical technicain
Occupational therapist
100
A coding book that contains codes for medical products and supplies.
HCPS
NCCI
National Coverage Determination (NCD)
Crossover