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CMA Admin. Review Flashcards | StudBud
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CMA Admin. Review
CMA Admin. Review
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StudBud Administration
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Review of administrative procedures to include medical insurance and billing and coding
Flashcards
69 cards
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1
A specific number of patients, usually four, is scheduled at the beginning of the same hour is:
modified wave scheduling
cluster scheduling
wave scheduling
group scheduling
2
HIPAA is involved with the
secure electronic transmission of patient information
patient confidentiality
insurance industry
health care insurance for the needy
3
To correct a handwritten error in a patient's chart, it is only acceptable to ______________.
write over the error
draw a single line through the error, correct, initial it
scratch through the error so it cannot be read
white it out neatly and insert the correct information
4
Process of converting the dictated word of the health care provider to a word processed form is
recording
documentation
transcription
dictation
5
Which of the following represents mid-level providers?
physician and physician assistant
medical assistant and physician
physician assistant and nurse practitioner
practice manager and medical assistant
6
When you are focusing on the conversation of the telephone call and ignoring distractions you:
demonstrating time management
practicing diction
actively listening
expressing yourself
7
The letterhead on stationary should include the following EXCEPT the:
medical group name
office address and office telephone number
physician home telephone number
physicians name
8
The process of determining whether a service or procedure is covered by the insurance provider:
capitation
pre-certification
coordination of benefits
assignment of benefits
9
___is a method used for determining whether a particular procedure is covered under a policy.
pre-authorization
informed consent
none of above
pre-certification
10
The golden rule in documentation is the following
the physician must initial all chart entries
always sign your complete name and title
always document in ink
if its not documented, it wasn't done
11
If a patient is diagnosed with a disease before the effective date of the insurance plan, it is
crossover claim
capitation
exclusion
preexisting condition
12
FICA provides benefits for
aid to dependent children
old age
medicare
social security
13
When a patient gives written authorization for reimbursement to the physician for billed charge
co-payment
capitation
coordination of benefits
assignment of benefits
14
During flu season, it is sometimes necessary to use this scheduling method to accommodate sick
open hours
double booking
wave
clustering
15
A postage meter is a:
scale to determine the classification for mail for letters
device used to weigh letters or packages
machine that prints prepaid postage onto mail pieces orlabel
machine used to scan zip codes
16
The Tri-Care fiscal year is from __________to _____________.
january 1 to december 31
october 1 to september 30
october 1 to september 1
july 1 to june 31
17
The patient's statement describing symptoms and conditions that are the reason for seeing Dr.:
primary concern
objective finding
adverse affect
chief complaint
18
A walk in patient is one who:
is able to ambulate without assistance
has arrived late for an appointment
arrives at the office without an appointment to be seen
has an emergency
19
The amount of money earned before taxes or deductions are taken out is called:
gross income
prior earnings
total income
net income
20
The correct spelling of heavy, uncontrolled bleeding is:
hemmorrhage
hemmorage
hemorhage
hemorrhage
21
The International Classification of Disease (9th or 10th Revision,(ICD-10-CM) is used to code:
medications
diagnosis
services rendered
procedures
22
One method of backing up a file to a computer medical record is called the:
file folder
outguide
electronic copy
disk
23
Low income patients can be covered by what type of insurance?
BCBS
Tri-care
medicare
medicaid
24
Certified mail is also considered or classified as:
first class
express mail
third class
second class
25
A signature on the reverse side of a check is called:
reconciliation
kiting
signature card
endorsement
26
The standard business envelope is a:
no. 10
no. 6
no. 9
no. 12
27
The coding abbreviation NOS means:
not otherwise specified
no objective signs
not otherwise classified
nonspecific objective symptoms
28
A person's spouse or child who is covered under the benefits plan is called the:
carrier
group member
co-insured
dependent
29
Equipment needed for medical transcription is a:
facsimile machine
copy machine
computer
telephone
30
The most common type of scheduling is:
time-specific scheduling
wave scheduling
clustering
modified wave
31
The punctuation mark following the salutation of a professional business letter is a:
period
hyphen
colon
comma
32
A record of debits, credits, and balances is referred to as a patient's ______________.
ledger
sheet
cart
slip
33
A method of charging whereby a physician presents a bill for each service rendered is called:
fee for service
non duplication of benefits
none of above
monthly statement
34
The amount that will be paid by the insurance plan for each procedure or service is based on:
capitation
coinsurance
fee schedule
deductible
35
The number on the employees with holding exemption certificate is:
w-4
1040
w-2
w-3
36
Which of the following is a guideline that applies to using the appointment book?
erase any missed appointments from the book after documented
write or print clearly and make corrections neatly
always allow 1 hour per day for emergency appts.
discard all used appt books
37
Which codes can modifiers be added to, to indicate that a procedure or service has been altered
ICD-9-CM
ICD-10-CM
all of above
CPT
38
Prior to e-mailing the patient, the CMA should verify that:
the physician approves the email
the diagnostic test is available as an attachment
the patients written consent for email was obtained
the patient has an email
39
How many lines below the salutation should the body of a letter start?
three
four
two
one
40
The abbreviation "cc:" or "Cc": when used at the end of a professional letter means
the physician requested a copy of the letter
there is an enclosure in the envelope with the letter
there is a copy of another letter enclosed with this letter
the letter was sent to another person
41
The model that shows the chain of command is called the:
practice management
corporate plan
organizational chart
staff assignments
42
The abbreviation used in scheduling to designate a patient who has never been seen in office
CPE
NP
NS
F/U
43
When coding, the term describing a cancer that has not invaded neighboring tissues is:
carcinoma
metastatic
in situ
benign
44
E/M codes are located in the __________manual.
ICD-9-CM
CPT
HCPCS
ICD-10-CM
45
A HMO (health maintenance organization) is best described as:
a group of physicians who are partners at same corporation
Dr. who have a contract for services for a predetermined fee
a group of physicians who specialize in wellness
independently practicing physicians covered under all ins.
46
The most common schedule for billing patients is:
weekly
bimonthly
quarterly
monthly
47
Which of the following is necessary quality for a good telephone voice?
using a rapid rate of conversation
speaking clearly and saying words correctly
focusing on surrounding activity in the office while on ph.
maintaining a monotonous tone
48
As part of the office book keeping procedures, the Dr. bank statement should be reconciled with
daily ledger
check book
personal ledger
business ledger
49
After a caller has been placed on hold, you should make every attempt to respond within:
1 minute
30 seconds
10 seconds
20 seconds
50
Amount of charges each pt. must pay each calendar year before the plan begins to pay benefits
exclusion
capitation
deductible
coinsurance
51
The _form is used by non-institutional providers and suppliers to bill Medicare, part B.
HCPA-1000
CMS-1500
UB-92
CPT
52
When a discount or refund is applied to an account, this is referred to as a(n):
charge
payable
withholding
adjustment
53
The inside address of a professional letter is the:
physicians office address
recipients address written without abbreviations
address of the sending group practice
physicians home address printed at the left margin
54
In insurance coding, using an E code designates ___________.
a factor that contributes to a condition or disease
the primary diagnosis
classification of environmental events, like poisoning
cancers
55
A tickler file is a(n):
system used as a reminder of things to do by certain date
appointment card that is to be filed in the patients chart
file used to hold lab reports if they cant be filed yet
file of patients names who have missed appointments
56
A check written from an account that does not have enough money for the amount of the check is:
NSF check
voided check
third-party check
blank check
57
SOMR refers to
source oriented medical records
subjective, objective medical record
State Office of Medical Records
safe objective medical radiology
58
The reference procedural code book that uses a numbering system developed by the AMA is called
manual for current procedures
insurance claim manual
current procedural terminology (CPT)
reference manual
59
The pages or screens of the medical record contained within the patient's file are the property
physician
insurance carrier
spouse or guardian
patient
60
If a physician is delayed in arriving at the office for appointments, you should:
cancel the remaining appointments for the day
offer the waiting patients an opportunity to reschedule
immediately reschedule the patients
offer to refer to another physicians practice
61
The office is opened one Saturday a month from 8AM to noon and no appt is required. This is-
modified wave
open hours
wave
cluster
62
The primary purpose of screening telephone calls is to:
manage the physicians time by referring only necessary calls
intercept personal calls
place patients on hold as soon as they contact office
decrease the number of telemarketing calls
63
A form to itemize deposits made to savings or checking accounts is called:
money order
deposit slip
money order
check guarantee
64
Which of the of the following would not be the responsibility of the human resources department
determining the medical assistant scope of practice
managing payroll and benefits
establishing hiring policies
verifying credentials of employees
65
Compliance is best defined as:
working well with the entire office staff
performing all tasks regardless of scope of practice
notifying a patient of all test results
the act or process of doing what you are required to do
66
A preprinted form that has the basic office charges listed and space for the patient's charges:
day sheet
invoice
superbill
ledger
67
When calling the hospital to schedule inpatient surgery, what info is NOT necessary?
the physicians name
time an day requested by the physician
urgency for procedure
patient insurance co-payment
68
The proper style of writing a date in a professional letter is:
Feb. 1, 2015
2015
February 1, 2015
February 1, '15
69
If a pt is not expected to return to the practice because he has moved away, the patient record
inactive
closed
transferred
active
