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