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