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MDA-101-2F010 Final Flashcards | StudBud
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MDA-101-2F010 Final
MDA-101-2F010 Final
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1
A pay schedule __________.
shows how often an employee is paid
refers to the total amount of income earned before deductions.
verifies the employee's eligibility for employment
outlines the number of dependents
2
A non-serious OSHA violation results in a __________.
$7,700 fine each day violation continues past the date it was due to stop
discretionary fine of up to $13,260
mandatory fine of up to $7,000
fine of up to $70,000 and/or up to 6 months' imprisonment
fine of up to $33,000
3
The outcome of a claim submitted with a dx code of sore throat and tx code indicating a cast for a broken leg would be:
denied because the treatment was not medically necessary based on the dx
a reprimand to the provider for not treating the sore throat
the patient may have to pay a coinsurance after the deductible is met
the fee for service would be applied toward the patient's deductible
coverage at 100 percent for both the sore throat and the broken leg
4
If providers submit a claim for a simple procedure but a harder procedure was documented in the record, __ may occur.
no payment
underpayment
recovery audit
denial of claim
overpayment
5
Most SSI's are
endogenous
, meaning they're caused by microorganisms found on skin or in the pt's body.
True
False
6
Which of the following would require an incident report to be filed?
A fall caused by torn carpet
A fellow employee talking about a patient outside of the facility
A patient refusing an ECG
A new autoclave not working properly
7
What type of questions should be avoided during an interview?
"Are you a union member?"
"Have you ever worked under a different name?"
"Do you have a university or college degree?"
"Can you perform the duties of the job you are applying for?"
8
All packs wrapped with muslin must be
double
wrapped.
False
True
9
The common health-associated infection seen in an outpatient setting, called MRSA, is caused by which type of bacteria?
clostridium
staph
strep
CAUTI
CLABSI
10
Which of these organizations recommends that healthcare workers not wear fake nails or extensions when working w/ any pt
ADA
CDC
WHO
OSHA
HIPAA
11
What type of leave allows a family member to stay home to care for a person, without pay, & without losing his/her job?
Americans with Disabilities Act
Family Medical Leave Act
Equal Employment Opportunity Commission
Fair Labor Standards Act
12
Using a clearinghouse to transmit electronic media claims __________.
requires a translator and technology to conduct electronic data interchange
enables a 30-day turnaround time from submission to payment
requires a greater amount of time to process claims
includes data elements that are transmitted in a computer file
makes more paperwork than paper claims
13
The SSI classification that includes organs and cavities but excludes skin, fascia, and muscle is called
organ/space
.
True
False
14
Which type of infection is caused by the entry of infectious microorganisms in the bloodstream by way of a central line?
CAUTI
staph
clostridium
CLABSI
strep
15
Money from the petty cash fund should be used for purchases such as __________.
postage-due fees and holiday decorations
new office furniture
general office supplies such as antibacterial hand soap and tissues
medications that are administered in the office
everyday medical supplies, such as tongue blades and bandages
16
Employers are required by law to supply __________ at no charge to their employees.
personal protective equipment
insurance
study shoes
scrubs
lab coats
17
What is the term for the total amount of income earned by an employee before deductions are subtracted?
quarterly return
tax liability
net earnings
gross earnings
18
Which of the following is a key communication tool for the med office, which covers both admin. and clinical procedures?
organizational chart
OSHA guidelines
policies and procedures manual
chain of command
19
Transmission-based precautions are guidelines that supplement __________.
-------->
<------
standard precautions
standard precautions
20
You checked a Medicare patient's insurance eligibility and see she also qualifies for Medicaid. What do you do first?
Notify Mrs. Lawrence that she will not have to pay anything.
Send the claim to Medicaid.
Ensure that the provider signs the Medicaid claim.
Contact Medicaid to verify her eligibility.
Contact Medicare for preauthorization.
21
A catheter placed in a large vein (neck, chest, or groin) that's used to administer fluids/medications is a __________.
CAUTI
central line
22
In ICD-10-CM conventions, what does NOS mean?
Not Otherwise Specified
Not Elsewhere Classified
23
Microorganisms brought into the surgical site by medical instruments or equipment are called
exogenous
.
False
True
24
Classifications of SSIs are dependent on the __________ and extent of the surgical wound.
drainage
depth
type
width
location
25
An employee's W-4 form should be __________.
updated monthly.
completed only at the beginning of employment.
updated every six months.
updated yearly.
26
In ICD-10-CM conventions, what does NEC mean?
Not Elsewhere Classified
Not Otherwise Specified
27
Self-sheathing needles, retractable needles, and self-blunting needles are examples of
safety-engineered
devices.
False
True
28
In ICD-10-CM conventions, what does [ ] represent?
Used around synonyms, alternative wording, or explanations
Encloses a series of terms, which r modified by statement to right of brace
not elsewhere classified
not otherwise specified
29
The penalty for failure to correct a prior OSHA violation is a __________.
discretionary fine of up to $7,000
fine of up to $33,000
mandatory fine of up to $7,000
fine of up to $70,000 and/or up to 6 months' imprisonment
fine of $13,260 for ea. day violation cont's past date it was due to stop
30
The appropriate gloves to use when cleaning up a spill in the work environment are __________.
examination gloves
utility gloves
breathable cotton gloves
single-use disposable gloves
sterile gloves
31
Which of the following are examples of fraudulent billing? SELECT ALL THAT APPLY
Performing procedures that are not medically necessary
Coding services that were not performed
Unbundling of services
Reporting the same service twice
Reporting the extent of patient history taken
32
What is OSHA’s estimate of approximately how many needlestick injuries occur each year?
100,000
300,000
800,000
700,000
500,000
33
Any gear worn by a healthcare worker that guards against physical hazards is called
personal protective equipment
(PPE).
True
False
34
Which guideline is vital when handling hazardous waste?
Keep biohazardous waste containers open at all times.
Push intact contaminated needles into the bio container for sharps.
Break off or recap needles after use.
Put bio bin in secondary bin if there's danger of puncturing the main bin
Open, empty, and clean reusable sharps containers by hand.
35
Which of the following is correct regarding electronic claim submissions?
Claim submissions cannot be integrated with EHR systems.
Claims cannot be transmitted directly by electronic data interchange (EDI)
Clearinghouses will modify data as necessary to ensure a standard format.
Claims cannot be entered into the health plan's computer system.
Claims r prepared 4 transmission after required data elements are entered.
36
The SSI classification that involves tissues such as fascia and muscle is called
deep incisional
.
False
True
37
What is the proper placement order when multiple PPEs are needed for the protection of the healthcare worker?
gown, gloves, and face mask
face mask, gloves, and gown
gloves, gown, and face mask
face mask, gown, and gloves
gown, face mask, and gloves
38
An insurance claims dept compares the fee the dr charges with benefits provided by the pt's health plan. This is called:
payment and remittance advice
review for allowable benefits
payment of benefits
review of medical necessity
explanation of benefits
39
The CDC recommends that catheters be used for the least possible amount of time due to which type of infection?
CLABSI
CAUTI
staph
clostridium
strep
40
Inj., phleb., and winged steel needles are available w/
add-on safety
features that keep user's hands behind needle tip.
True
False
41
The SSI classification that involves only the skin and subcutaneous tissues is called
superficial
incisional.
False
True
42
Which of the following is mandated for hourly employees by the Fair Labor Standards Act?
time and a half for all hrs worked beyond the normal 8 hrs in reg. workday
2X the normal wage for hrs worked on the 6th consecutive day of work week
2X the normal wage for hrs worked beyond the normal 8 hrs in a reg. workday
time and a half for all hours worked on the seventh consecutive workday
43
Adherence to
CDC
guidelines, sterile technique during procedures, & comprehensive pt ed. are keys to preventing SSIs.
False
True
44
When an exposure incident occurs, the employee __________.
should request a transfer to a less hazardous facility
should go to a physician and pay for a medical evaluation
should be tested for HBV and receive the vaccination if necessary
has no right to refuse medical evaluation and treatment
should avoid telling the employer about her carelessness
45
A procedure that requires entry into a body cavity or cutting into skin/mucous membranes is called
invasive
procedure.
False
True
46
The payment system used by Medicare is based on __________.
the providers’ minimum charges
fee-for-service agreements
prevailing rates in the region
the price of medical equipment used
resources
47
A husband/wife are employed with insurance plans thru work that cover each other & their 3 kids. Which plan is primary?
the wife's insurance plan, because it has the most comprehensive coverage
the plan of the person whose birthday comes first in the calendar year
the husband's insurance plan, because he makes more money
whichever the husband and wife want to declare as primary
the insurance plan of the person whose policy went into effect first
48
An OSHA violation that was committed intentionally and resulted in a patient's death carries which penalties?
fine of $3,300 for each day the violation was committed
discretionary fine of up to $7,000
fine up to $132,598 w/ $9,472 min w/ add'tl fine and/or up to 6 mos prison
mandatory fine of up to $7,000
fine of up to $33,000
49
The basics of hiring a successful employee include __________.
having a set pay scale for new hires
hiring the first person who applies
discussing policies and procedures early
assuming that newly hired people need no training
checking references after hiring the person
50
The list of topics for a meeting and the order in which they will be addressed is called an
agenda
.
False
True
51
Generally the petty cash fund should be replenished when there is a minimum of __________ in the fund.
$10
$20
$15
$5
52
Which of the following is not part of Medicare's resource-based relative value scale?
a geographic adjustment factor
the nationally uniform relative value
a nationally uniform conversion factor
Medigap, to reduce the gap in coverage
adjustments according to the cost-of-living index
53
A pt (7/19/73) has employer provided ins. and is listed on his wife's (5/23/78) ins. as a dependent. Who is the primary?
Pt's wife, because her birthday occurs earlier in the calendar year
Medicaid because pt does not think he can afford the appt.
Medicare because pt is over 65
The pt's, as it is his primary insurance
Workers' Compensation since pt is employed full time
54
Select the following examples that are considered honest billing. SELECT ALL THAT APPLY.
Coding to the highest specificity
Not overstating the complexity of the decision-making process
Performing procedures that are not medically necessary
Reporting the extent of patient history taken
55
When wrapping items to sterilize in an autoclave, all hinged instruments should be placed in the
open
position.
True
False
56
One advantage of submitting claims electronically is __________.
patients can submit their own claims easily
the practice can receive larger payments
it increases the time between submission and payment
electronic submissions are cost-efficient
electronic claims cannot be rejected
57
Approximately what percent of patients will develop an infection at the surgical site?
6%
2%
3%
5%
4%
58
Aseptic hand washing includes __________.
adjusting the temperature of the water to cool
using bar soap
keeping your hands lower than your forearms
turning the faucets on and off with wet hands
turning the water off before drying your hands
59
The penalty for an OSHA violation when death or serious harm could result & when the employer knew/should have known is
a fine of $33,000.00
a possibility of a $3,300 fine
up to 6 months' imprisonment
immediate dismissal of the employee who caused the violation
a fine of up to $13,260
60
An infection acquired by a patient in a healthcare facility is known as a
healthcare-associated
infection.
False
True
61
A clinical procedures manual would be
most
likely to include __________.
reagents, standards, and controls used
appropriate telephone procedures for emergency calls
guidelines for releasing patient PHI
templates for normal lab and X-ray results
62
According to OSHA, Category III tasks
involve tasks such as assisting with minor surgical procedures.
involve tasks such as giving mouth-to-mouth resuscitation.
do not require any precautions other than hand hygiene.
expose a worker to blood, body fluids, or tissues.
involve risk of exposure to bodily fluids.
63
The MA can help the pt avoid infections before/after surgery by giving her
clear
instructions.
False
True
64
Which of the following is not part of the process for verifying workers' compensation coverage?
getting the name of the verifier at the patient's company
getting the name/policy number of the pt's personal health insurance policy
asking if the company has opened a workers’ comp case with the ins. company
obtaining the employer's verification that the accident was work-related
asking the verifier at the pt's company for the original date of the injury
65
An appropriate way to handle a patient relocation and address change is to __________.
turn the account over to a collection agency immediately
stop trying to contact the patient after two unsuccessful tries
write off the charges as a hardship case
send a statement to the patient's relatives for payment
ask a third party for the patient's new address
66
When wrapping instruments for sterilization, what is the first step that should be taken?
Place an indicator in center of wrap.
Place instruments in the center of the wrap.
Open all hinged instruments.
Wash hands and don gloves.
Select type and size of wrapper.
67
Which of the following would not be necessary when receiving cash payments for healthcare services?
count it carefully
place it is a drawer or box
give the patient a receipt or copy of the superbill
ask the patient for identification
68
In ICD-10-CM conventions, what do ( ) represent? (PICK TWO)
nonessential or supplementary terms
Not elsewhere classified
Not otherwise specified
used around descriptions that do not affect the code
69
What is the usual amount of money kept in a petty cash account?
$100
$5
$50
$10
70
Which of the following is a disadvantage of using muslin to wrap instruments for sterilization?
It is more susceptible to contamination.
It is hard to handle.
It stays wet too long.
It comes unwrapped more easily.
It is too bulky.
71
What is the proper way to wrap hinged instruments?
using porous paper only
placed in the open position
single wrapped
wrapped in gauze
placed in a pile one on top of the other
72
Diversity
includes differences in identities, age, sex, race, physical abilities, ethnicity, values, and personalities.
True
False
73
A HAI seen in an OP setting that's caused by type of staph, results in skin infections that can develop into lg absesses
CLABSI
strep
MRSA
Clostridium
CAUTI
74
Which of the following are considered aseptic precautions?
wearing gloves and a mask when working with a patient if you have a cold
using nail polish to protect your fingernails
leaning against the sink when washing your hands
not using tissues when coughing
taking a fever medication before going to work if you have a fever
75
Prepare intruments for an
autoclave
by wrapping them in muslin, porous paper, bags, or envelopes and labeling each pack.
False
True
76
An appropriate approach to maintaining patient confidentiality on the computer is to __________.
provide each patient with a unique password
allow former employees to keep their passwords
change your password every 90 days
make sure a coworker knows your password in case you are sick
send confidential information only by fax, never by computer
77
Which of the following is the appropriate way to wrap instruments for sterilization?
Place all instruments together with surfaces touching.
Use plastic tape to close the pack.
Wrap each instrument in the fabric as loosely as possible.
Place all hinged instruments in the closed position.
Use only double-thickness muslin to wrap instruments.
78
Which of the following is the appropriate OSHA precaution for administering medicated nose drops to a patient?
Wear disposable sterile gloves.
Wear protective eyewear and gloves.
Wash hands before and after the procedure.
Wear gloves and a mask.
Wear a disposable gown and protective eyewear.
79
When wrapping items for sterilization, what information must be on the label of the pack?
date and time
date and contents of pack
date, time, and your initials
date, time, and contents of pack
date, your initials, and contents of pack
80
According to OSHA, Category I tasks
expose a worker to blood, body fluids, or tissues.
do not require any special precautions.
do not involve risk of exposure.
do not require any special precautions.
involve tasks such as taking a patient's blood pressure.
81
In ICD-10-CM conventions, what does } represent?
Encloses series of terms, which is modified by statement to right of brace
Not otherwise specified
82
The OSHA Standard Precautions apply to which of the following?
fingernails and toenails
intact skin
sweat
human hair
blood
83
What is the most common microorganism associated with a surgical site infection?
Streptococcus
Clostridium
CLABSI
Staphylococcus
CAUTI
84
Instruments wrapped together as a sterile pack should be wrapped
loosely
so the steam can reach the instruments inside.
True
False
85
A person is in town on vacation goes to an appt with sx of food poisoning. What type of account is set up for this pt?
single-entry account
account payable
collection account
open-book account
written-contract account
86
Which of the following does the Fair Labor Standards Act primarily affect?
salaried employees
employees who work on commission
contract employees
employees who earn hourly wages
87
Which of the following is the appropriate way to handle potentially infectious laundry waste?
Place potentially infectious laundry in red laundry bag marked biohazard.
Place potentially infectious laundry in bio containers to be disposed of.
Take potentially infectious office laundry home to wash.
Wash potentially infectious laundry with all other laundry from the office.
Wash potentially infectious laundry separately from other laundry.