Administrative Medical Assistant Responsibilities and Insurance Knowledge, Exams of Nursing

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NHA CMAA Practice Exam Questions And Answers. b) artificial plants and floral arrangements for aesthetics Answer- When creating a reception area for a pediatric clinic, which of the following items should the MA include? a) accessible coffee and tea b) artificial plants and floral arrangements for aesthetics c) stuffed animals and small building blocks d) scented candles to mask odors a) numeric Answer- Which of the following medical record filing systems protects patient's privacy and allows for unlimited expansion in a high-volume office? a) numeric b) alphabetical c) subject filing d) chronological b) CMS-1500 Answer- Which of the following forms is used to submit health insurance claims for a provider's office? a) UB-04 b) CMS-1500 c) DE 2501 d) CMS-1490S a) having a sign-in sheet that includes a patient's name and provider Answer- Which of the following is an example of an incidental disclosure? a) having a sign-in sheet that includes a patient's name and provider b) disclosing a patient's diagnosis to a family member who is not involved in the patient's care c) providing a grandparent with the test results regarding a minor's prior condition without written authorization d)supplying a patient's medical documentation to an insurance company c) dys- Answer- Which of the following prefixes means "abnormal"? a) ad- b) dia- c) dys- d) ab- c) Advance Beneficiary Notice (ABN) ABNs provide the Medicare beneficiary with the option to receive non covered services Answer- Which of the following should a MA complete if a provider believes Medicare might not cover a procedure? a) Medicare Summary Notice (MSN) b) Remittance Advice (RA) c) Advance Beneficiary Notice (ABN) d) Explanation of Benefits (EOB) b) EEG Answer- Which of the following is an abbreviation for an electroencephalogram? a) EKG b) EEG c) ECG d) EBB d) the legal custodian Answer- A MA is reviewing the release for of a patient who is a dependent minor. The MA should ensure that which of the following persons has signed the release form? a) a parent b) the minor c) the provider d) the legal custodian b) review written instructions with the patient Answer- Which of the following approaches is appropriate when preparing a patient for surgery? a) mail written instructions to the patient b) review written instructions with the patient c) request someone to call from the surgeon's office with instructions d)advise the patient to call the surgery center for instructions b) process the requisition for the shipment Answer- A collected specimen needs to be sent to an outside lab. Which of the following actions is within the scope of practice for an administrative MA? a) match the specimen with the demographics on the patient's chart b) process the requisition for the shipment c) prepare the specimen for secure transport d) ensure proper storage of the specimen prior to shipment c) physical therapy Answer- A patient's chart indicates the need for PT as a result of a strained muscle. The MA should recognize the abbreviation PT to be which of the following? a) prothrombin time a) electronic records are more secure Answer- Which of the following describes the difference between electronic medical records and paper medical records? a) electronic records are more secure b) electronic records are more affordable to implement c) paper records take up less space d) paper records are easier to update d) to indicate when a provider is unavailable to treat patients Answer- Which of the following is the purpose of a matrix? a) to create flexible waiting time for patients b) to determine patient appointment cancellations c) to differentiate between new and established patients d) to indicate when a provider is unavailable to treat patients b) shred unwanted mail Answer- Which of the following actions is appropriate for a MA to take when processing incoming mail? a) open and organize the provider's mail b) shred unwanted mail c) file incoming lab results as soon as they are received d) discard duplicate medication samples a) first-class mail Answer- Which of the following mail services is most commonly used by medical facilities? a) first-class mail b) media mail c) parcel post d) second-class mail d) claim adjustments Answer- Which of the following information is included in an explanation of benefits (EOB)? a) NPI number b) employer ID c) remaining deductible d) claim adjustments c) make a new entry in the EMR with correct information Answer- An MA discovers an error in an EMR from a previous visit. Which of the following actions should be taken? a) leave the information in the EMR because it is a past visit b) delete the error and add the correct information to the notes c) make a new entry in the EMR with correct information d) highlight the error in order for the provider to identify it c) cluster Answer- A schedule is made for patients to have PEs on Tuesday afternoons and Thursday mornings. This is an example of which type of scheduling? a) stream b) wave c) cluster d) open hours d) patients are assigned specific appointment times Answer- Which of the following is an example of stream scheduling? a) patients who have similar conditions are scheduled at the same time b) two or more patients are scheduled at the same time c) patients are scheduled for the top of each hour d) patients are assigned specific appointment times b) advise the patient to ask the provider about alternatives Answer- Prior to an invasive procedure, a patient asks you about other available options. Which of the following actions is appropriate for you to take? a) inform the patient of the common alternatives b) advise the patient to ask the provider about alternatives c) seek out a clinical MA to explain alternatives d) provide the patient with alternate providers' phone numbers a) access the answering service Answer- After deactivating the security system, which of the following actions should you take next when opening the office in the morning? a) access the answering service b) restock the exam rooms c) print the appointment schedule for the day d) ensure petty cash is available d) when the patient provides a signed release of information that identifies the family member Answer- When is it appropriate for an MA to release test results to a patient's family member? a) when the family member can provider personally identifiable information about the patient b) when the patient signs an informed consent form c) when the family member signs a release form d) when the patient provides a signed release of information that identifies the family member d) release of information authorization form Answer- When an MA transmits a medical record, which of the following documents is required? a) patient referral form b) health care proxy form c) provider release of records form d) release of information authorization form c) offer the next available appointment to the patient Answer- An established patient calls to cancel an appointment for the following week. Which of the following actions should be taken? a) bill the patient for the missed visit b) keep the original appointment scheduled and use the time for walk-ins c) offer the next available appointment to the patient d) discuss the reason for the cancellation d) manually add the procedure code to the form Answer- Which of the following actions is necessary if a prescribed CPT code is not listed on the preprinted patient encounter form? a) enter the most common procedural code used in the office b) upcode the prescribed procedure and select it on the form c) use the code on the patient's previous encounter form d) manually add the procedure code to the form d) speak with the provider about rescheduling the procedure Answer- A patient who was given instructions to stop taking ASA prior to a procedure informs you that she has not followed these instructions. Which of the following actions should be taken? a) advise the patient to drink plenty of water to dilute the ASA b) inform the patient that the procedure will be cancelled c) ask the patient if it was low-dose ASA d) speak with the provider about rescheduling the procedure d) an appointment reminder Answer- Which of the following should an MA give to a patient when rescheduling a routine return visit? a) an encounter form for the next visit b) a copy of the patient's prescriptions c) a financial responsibility form d) an appointment reminder b) abandonment Answer- A provider leaves town without leaving a contact number and coverage for patients he is treating. He is at risk for being accused of which of the following? a) neglect b) abandonment c) misdemeanor d) felony b) schedule an appointment closest to the requested time slot Answer- A patient requests a follow-up appointment for an unavailable time slot. Which of the following actions are appropriate to take? d) submit a preauthorization form to Medicare before scheduling the physical b) coinsurance Answer- An MA creates an invoice for the remaining percentage of an encounter fee after receiving a copayment. This portion is considered to be which of the following? a) capitation payment b) coinsurance c) deductible d) coordination of benefits d) provide an estimate based on allowable amounts Answer- After scheduling an appointment, a new patient who has insurance asks the MA what the cost of the office visit will be. Which of the following actions is appropriate? a) quote the lowest new patient exam fee to the patient b) divert the question to the office manager c) tell the patient that insurance will cover the visit d) provide an estimate based on allowable amounts d) provider prescription pads Answer- Which of the following needs to be secured with a lock and key during closing procedures at the end of each day? a) exam rooms b) scheduling book c) bank deposit slip d) provider prescription pads c) insurance information Answer- When greeting a patient at reception, which of the following should the MA obtain? a) chief complaint b) current medications c) insurance information d) surgical history c) progress notes Answer- A 3rd-party payer is requesting documentation to support billed services. Which of the following is the appropriate documentation you should forward to them? a) notice of privacy practices (NPP) b) disclosure form c) progress notes d) patient registration form a) driver's license Answer- An MA should check a patient's demographics form for accuracy against which of the following? a) driver's license b) medical history form c) authorization for treatment d) assignment of benefits c) tickler Answer- An MA should use which of the following types of files to remind patients of future appointments? a) indirect b) direct c) tickler d) reserved a) collect due amounts at the time of the visit Answer- Which of the following is the most efficient method for an MA to collect payment for services? a) collect due amounts at the time of the visit b) send a monthly statement to the patient c) call the patient to establish a payment plan d) use an outside collection agency a) update the fee schedule Answer- A dental office increases the cost of a routine teeth cleaning. The MA should take which of the following actions? a) update the fee schedule b) notify insurance companies to update the allowed amount on their payment schedule c) update patients' accounts with the new fee schedule d) notify referral sources of the change c) encounter form Answer- Which of the following forms is required to ensure a clean claim for an established patient? a) day sheet b) progress note c) encounter form d) CMS-1500 claim form b) to document encounters between the patient and provider Answer- Which of the following is the primary purpose of a medical record? a) to collect information for a patient's future use b) to document encounters between the patient and provider c) to keep information for the insurance company to audit d) to serve as a legal document in court a) insurance coverage Answer- Which of the following information should an MA verify on a referral? a) insurance coverage b) emergency contact c) driver's license number d) financial hardship a) release of information for treatment, payment, and health care operations (TPO) Answer- During which of the following processes is an MA relieved from gaining authorization from a patient? a) release of information for treatment, payment, and health care operations (TPO) b) release of information to an outside provider c) release of information to an attorney's office d) release of information to the department of health a) it requires employers to maintain a workplace free from hazards that might cause serious harm or death Answer- Which of the following describes the purpose of the general duty clause as outlined by OSHA? a) it requires employers to maintain a workplace free from hazards that might cause serious harm or death b) it protects the employer from legal action if an OSHA standard is not followed c) it requires employees to report workplace hazards to their supervisor in written format d) it provides guidelines for employees to report potential workplace hazards anonymously d) inform the patient that the copayment is due at the time of service Answer- A patient refuses to pay his copayment. Which of the following actions should the MA take? a) offer to waive the fee for the patient b) tell the patient to call the insurance carrier c) advise the patient that the copayment will be added to the bill d) inform the patient that the copayment is due at the time of service a) written order from the provider Answer- When a patient requires a diagnostic procedure, which of the following is required? a) written order from the provider b) referral form c) insurance request form d) written letter of release from the patient d) Lapar/o Answer- Which of the following root words means "abdominal wall"? a) Gastr/o b) Myel/o c) Aden/o d) Lapar/o d) inform the patient of the appointment cancellation policy Answer- Which of the following actions should the MA take when scheduling a new patient for a physical exam? c) forward the call to the appointment desk d) schedule a follow-up visit with a nephrologist c) 12 months Answer- According to the ACA, what is the maximum allowable time from the date of service that a claim can be submitted to Medicare? a) 30 days b) 6 months c) 12 months d) 32 months b) "Please give me a moment while I retrieve your account." it is not appropriate to refer billing questions to the provider and should be done by the medical assistant Answer- A patient calls to inquire about a recent bill and requests to speak to the provider. Which of the following is an appropriate response from the MA? a) "Please hold while I discuss your account with the provider." b) "Please give me a moment while I retrieve your account." c) "You'll have to call the insurance company to check on your claim." d) "Let me transfer you to the office manager who will be able to help you." d) account number Answer- Which of the following patient information is required on the encounter form? a) marital status b) employer c) account number d) guarantor b) the name of the practice Answer- When leaving a message for a patient regarding an upcoming appointment, which of the following information should the MA include in the message? a) an estimate fee for the visit b) the name of the practice c) the reason for the appointment d) the patient's insurance coverage status c) "Your provider is unavailable during that time, but I have a couple times the following week that may work." Answer- An established patient requests a routine physical examination during the provider's scheduled week of vacation. Which of the following responses is appropriate from the MA? a) "I will check with the provider to see if she can make adjustments to her schedule and let you know." b) "I'm sorry, but your provider is going to be out of the country on vacation that week." c) "Your provider is unavailable during that time, but I have a couple times the following week that may work." d) "Your provider isn't available during that time, so I will go ahead and schedule you with another provider in the office." a) add a note in the medical record about the illness and inform the provider of the patient's condition Answer- A patient cancels a standing appointment due to a serious illness. Which of the following actions should the MA take? a) add a note in the medical record about the illness and inform the provider of the patient's condition b) add a note in the medical record about the illness and cancel the patient's future appointments c) add a note in the schedule about the illness and write the patient a letter about the missed appointment d) add a note in the schedule about the illness and inform the insurance carrier of the patient's condition c) RBRVS Answer- Fee schedules are based on which of the following? a) ASA b) CMS c) RBRVS d) AMA d) Remittance advice this is a report sent to the provider detailing the outcome of the claims process Answer- When the insurance carrier sends payment to the provider, which of the following is included with the check? a) Advance Beneficiary Notice (ABN) b) Coordination of Benefits c) Aging account report d) Remittance advice b) make eye contact and nod to acknowledge the patient's arrival Answer- A new patient arrives at the reception desk while the MA is assisting another patient on the phone with a scheduling question. Which of the following actions is appropriate to take when greeting the new patient? a) place the scheduling patient on hold and check in the new patient b) make eye contact and nod to acknowledge the patient's arrival c) indicate nonverbally for the new patient to take a seat in the waiting area d) give the new patient a registration form and point to the sections that need completing b) creating a database Answer- For which of the following tasks should a MA use Microsoft Access? a) encrypting documents b) creating a database c) scheduling a meeting d) creating a spreadsheet b) PAR PAR = a "participating" provider who accepts assignment for a patient Answer- Which of the following described a provider who has a contract with a third-party payer? a) PPO b) PAR c) HMO d) POS c) a letter to a patient about a scheduling change Answer- Which of the following types of correspondence can be written and signed by the MA? a) a medical report to an insurance company b) a referral letter to another provider c) a letter to a patient about a scheduling change d) a letter to a patient containing medical advice a) financial policy Answer- Which of the following informs patients that the practice will charge a fee for a no-show? a) financial policy b) billing statement c) superbill d) remittance advice d) clarify the patient's financial responsibility policy Answer- Which of the following actions should the MA take when collecting monies owed by a patient? a) write off the amount owed b) reduce payment for services rendered c) bill the patient's cosigner d) clarify the patient's financial responsibility policy c) non-affiliated individual Answer- Once a physician signs advance directives, the MA should have which of the following witness the signature? a) attorney b) health care employee c) non-affiliated individual d) family member d) time of the call c) to ensure accurate accounting d) to improve patient flow d) MSDS (material safety data sheet) Answer- The MA should obtain information about hazardous substances by referring to which of the following? a) EOMB b) CDC c) ABN d) MSDS d) ensuring that employee "right to know" information is available Answer- Which of the following is a component of OSHA's Hazardous Communication Standard? a) applying black and white tape to hazardous areas b) having the office professionally cleaned once per week c) requiring new employees to receive hepatitis B vaccines d) ensuring that employee "right to know" information is available c) contraindication Answer- A patient is allergic to eggs and therefore cannot receive influenza immunizations. The MA should recognize the patient's egg allergy is which of the following? a) adverse effects b) precaution c) contraindication d) interaction c) notify all patients of the fee schedule policy change Answer- Which of the following is the priority action for an MA to take when making a financial policy change? a) determine payment arrangements b) obtain a patient statement for services delivered c) notify all patients of the fee schedule policy change d) device the fees a) assignment of benefits Answer- A patient should sign which of the following forms in order to authorize payment directly to the provider from a third-party payer? a) assignment of benefits b) notice of privacy practices c) accept assignment d) advance beneficiary notice c) Mail merge this feature allows a user to create labels for a group of people Answer- An MA is asked to create labels for the practice's patients. Which of the following word- processing softwares features should the MA use? a) AutoText b) Find and replace c) Mail merge d) Header and footer a) answer the phone by the third ring Answer- Which of the following actions should an MA take when answering an office phone? a) answer the phone by the third ring b) assist callers before assisting patients in the office c) use speakerphone when multitasking d) turn on the answering service when there is high call volume d) persistant Answer- Which of the following terms is misspelled? a) procedure b) preceded c) psychiatry d) persistant c) UB-04 Answer- Which of the following forms is currently used to submit claims for hospital services and procedures? a) HCFA-1500 b) HCFA-1450 c) UB-04 d) UB-92 c) NPI Answer- Which of the following information should the MA include on a claim form? a) OPIM b) OIG c) NPI d) COD d) 1 day before the appointment Answer- A patient is rescheduled for a follow up in 6 months. At which of the following times should the MA call to remind the patient about the appointment? a) 1 month before the appointment b) 1 week before the appointment c) the morning of the appointment d) 1 day before the appointment