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MA309 - Cengage Final Exam Review Flashcards | StudBud
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MA309 - Cengage Final Exam Review
MA309 - Cengage Final Exam Review
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1
Doc at the clinic, has asked you to provide information regarding patient wait times. Where would you find this info?
popups
flow board
miscellaneous
patient/client
2
Which of the following refers to login information used to access the PM software?
plan number
provider information number
credentials
caller identification
3
Checking in NP Deb Acuna and need to enter the effective date of the insurance. The patient does not know the effective
flow board
acknowledgment form
online eligibility report
remittance advice
4
The United States legislation that assures patient privacy and security provisions for medical information is:
the Stark Law.
Health Insurance Portability and Accountability Act.
the Health Equity Act.
Obamacare.
5
You need to schedule a pts next preventative care appointment in the PM software. What visit type is this considered?
procedure
history and physical examination
consultation
follow-up
6
To determine if the pediatric patient's height and weight is within the normal range, you would generate a(n):
aging report.
growth chart.
encounter summary.
flow board.
7
What kind of claim replaces a previously submitted or finalized claim in the system for which a claim numb. was assigned
CMS-1500 claim
corrected claim
clean claim
medical claim
8
The provider may determine that the patient needs to see a specialist outside of your facility. This is called a:
remittance
recommendation
patient request
referral
9
A ________ is used to block an appointment schedule to reflect the clinic hours and provider schedules
matrix
time slot
session
flow chart
10
An individual who physician of the same specialty who belongs to the same group practice is referred to as a(n):
Dependent
New Patient
Subscriber
Established Patient
11
Which HIPAA rule addresses the use and disclosure of individuals' protected health information by covered entities?
MACRA
CEHRT
Privacy
Security
12
Sam fell off his bike a couple of days ago & has rt arm pain. What type of appointment would you schedule for Samuel?
history and physical examination
office visit
consultation
procedure
13
A patient calls the office requesting a same-day appointment due to acute illness. This patient is considered a(n) _ pt.
urgent
work-in
immediate
walk-in
14
Which of the following refers to the insurance policy number?
dependent number
group number
physician identification number
subscriber number
15
Which of the following is considered an access control in the PM software?
active alerts
passwords
passive alerts
flow boards
16
MA's are sometimes required to input scanned copies of patients' insurance cards into PM software. To do so, the MA
upload
delete
edit
download
17
In the case of family insurance coverage, one adult is ordinarily the __. A spouse and children would ordinarily be ___.
beneficiary; subscribers
subscriber; dependents
dependent; subscribers
secondary insured; beneficiaries
18
The clinic allows pts to have access to its pt portal. Using this website, Anna can
view all of the following EXCEPT:
the future appointments of other patients.
instructions.
her medications.
educational materials.
19
Which of the following patient scenarios best describes a rescheduled appointment?
Pt calls the ofc to inform the MA he has moved to a new town.
Pt calls the ofc the day of his appt and informs he will not be coming in.
Pt calls the ofc, cancels appt and says he will call back to reschedule.
Pt calls the ofc to change his 2pm appt, sched for today, to an OV in 2 wks
20
A(n) ________ refers to the ability to share electronic medical records with other health care facilities.
HHS
EMR
EHR
PM
21
The practice manager has asked you to run a report using PM software that shows all patient accounts that are in arrears
run a report for a specific insurance company.
run a report from the flow board.
run a report and send all outstanding accounts to a collection agency.
run an aging report.
22
Dr. C, a general practitioner, has transferred her pt, Anna, to Dr. A, an endocrinologist. Dr. C is considered the _
recommended
preferred
referring
clinical
23
Where would you look to find what patient education should be given?
assessment section of the SOAP note
the flow board
plan section of the SOAP note
patient Summary screen
24
When entering the patient's chief complaint, you should:
enter the patient's reason for the visit, allergies, medications
provide suspected medical diagnoses based on the patient's description.
summarize the complaint in as few words as possible.
enter the complaint as described by the patient, using their own words.
25
Beth is a NP at your clinic. When asked for her ins card, Beth asks you what a copayment is. How should you respond?
A copay is an amount that varies depending on services rendered
A copay is a contracted amt for a covered service that is due from the ins.
A copay is a fixed amount for a covered service, paid by the patient before
A copayment is a fee charged by the insurance company
26
The provider observed the patient had cold, clammy skin. Where would this information be recorded in a SOAP note?
Assessment
Subjective
Plan
Objective
27
Benefits verification/eligibility entails all of the following EXCEPT:
confirming preauthorization requirements.
confirming coverage status.
confirming deductibles as applicable to provider entity.
confirming provider availability.
28
A _________ includes specific dosage instructions, such as directions on how and when to take the medication.
formulary
SIG
non-formulary
tier
29
Where would you look to find details on claims billed to the insurance, how the claims were paid, and the net payment?
Dunning message
flow board
collection letter
remittance advice
30
The doc has asked you to schd a recurring weekly appt for Mr. Ny over the next month. What type of appt would you sched
follow-up office visit
extended office visit
procedure
consultation
31
Estab. Pt Ms. Jones has an appt in your office tomorrow. The patient needs an interpreter. Where could you find this?
vitals
insurance information
Patients alerts/alerts log
flow board
32
__________ eligibility refers to others that are related to the insured and can be added to the insured's policy.
Dependent
Subscriber
HMO
Group
33
When should the Medical Assistant document the administration of parenteral or oral medication?
when the co-payment is received
immediately document the medication after administering it to the patient
when the provider has signed the note
before administering the medication to the patient
34
The provider orders a tonsillectomy for the patient. In which section of the SOAP note would this be recorded?
subjective
objective
plan
assessment
35
Ms. Hughes just got married; her name and marital status changes are referred to as __________ information.
demographic
eligibility
psychologic
insurance
36
A pt has been dx with a fracture of the rt fibula. Which type of code would you assign for this patient's diagnosis?
CPT
assessment
procedural
ICD-10
37
Ms. Acuna is seeing Dr. Anson as her PCP today for a rash on her left arm. What is her copay?
$25.00
$35.00
$400
$200
38
What are the rules (also known as the rights) of medication administration?
Patient, medication, dose, route, time, documentation
SOAP, amount, time, circumstance, medical assistant, provider
Consent, documentation, encounter, provider, schedule, appointment
Insurance, insurance card, co-payment, deductible, allowable, & adjustment
39
With regard to patient collections, the responsible party is the:
insurance company.
beneficiary.
individual who is responsible for any private pay balances.
provider.
40
A(n) _system is software used for admin and billing tasks, such as scheduling appoint, generating reports, and billing
EHR
EMR
PM
HHS
41
What does the negotiated rate, or the eligible expense, refer to?
% of cost the insured is responsible for paying after deduct has been met
the out-of-pocket expense the patient must pay before the ins company
the max amount of charges approved or allowed
the fee for services performed
42
What information is required to properly fill out a preauthorization form for plan approval of an in-office procedure?
the 800 number of the insurance company, referral date, & the vital signs
CPT®, ICD-10, and HCPCS codes
requesting provider's info, service provider, requested service, proc
specialist co-pay amount, the patient deductible, a CPT® code
43
An established patient presents a new insurance card at check in. What should you do?
upload a copy of the insurance card to the pts record & update the pts ins.
no action is necessary
update the patient's insurance information in the electronic record.
upload a copy of the insurance card to the patient's record
44
Which code set would be used to assign a code to a patient's diagnosis of bradycardia?
assessment
plan
ICD-10
CPT
45
Blood pressure, heart rate, respiration rate, and temperature are known as _. This information is considered _ info
chief complaints; subjective
vital signs; objective
prognoses; objective
diagnoses; subjective
46
The HIPAA Privacy Rule: document that the patient signs to indicate that they are aware of these practices is the:
use of electronic data acknowledgment form.
privacy acknowledgement form.
registration form.
beneficiary notice.
47
The four main categories of the Merit-based Incentive Payment System (MIPS) are:
(EMR), Electronic Health Records (EHRs), Certified Electronic Health
Payments, Profit, Problem Lists, and Bonus Measures.
Quality, Cost, Promoting Interoperability, and Improvement Activities.
(PQRS), Value-Based Payment Modifier (VBM),
48
Doc needs a list of pts being seen that day. You will generate which of the following to provide doc with this info?
flow chart
patient registration form
peg board
appt reference sheet
49
A pt enters the clinic and requests to see the provider due to severe abd pain. This pt is considered a _____ pt.
established
routine
work-in
walk-in