CMAA Exam Study Guide: Comprehensive Overview of Medical Administrative Assistant Duties, Exams of Health sciences

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CMAA EXAM STUDY GUIDE

when should an MA assistant schedule a return appointment for a pt - when pt checks out

proper protocol when following up on nonpayment and of claims from third party payers - notify the pt of the claim; contact third party payer

when reviewing a pts history, a cmaa should identify the acronyms as setting for medical care - SNF

which of the following is a characteristic of a block style letter - salutations is flushed left

which new patient form becomes part of the pt medical record - health history

in which of the following places should the office computer back up information stored - in an offsite location

information that needs to be removed from the sign in sheet - the full name of the pt

a provider will be out of the office. the cmaa action would take first - update the schedule to reflect provider is away

before releasing medical records - ask pt to sign a release form requesting record

which of the following owns a pt medical record - creator

reason why the cmaa would print and review appt schedule - to ensure charts are prepared

rhinoplasty is the surgical repair of - the nose

which form does a pt sign to ensure that the insurance co pays the claim directly to the provider - assignment of benefits

which of the following is necessary for a provider to prescribe controlled substances - DEA number

if an insurance co does not pay claim, the cmaa should complete which of the following first - call the insurance co

which pt should cmaa assistant dress first - a pt SOB

before a pt has an outpatient surgery the cmaa should - pre certify the procedure with the pt insurance co

when making travel plans for a group of providers. cmaa first step should be - develop itinerary

before submitting a claim for a pt with medicaid insurance - contact carrier for eligibility

which term is used to describe an oxygen deficiency that causes the skin to turn blue in color - cyanosis

correspondence between a pt and a provider should be send using which mail - certified mail

transferred from acute care hospital to a SNF allows cmaa to - concurrent care

cmaa released records without authorization. which term describes this scenario - respondent superior

a cmaa is composing a collection letter. which actions should assistant take - individualize collection letter

date labeled used as a follow up method should be checked daily - tickler file

during the checkout the cmaa is required to - check encounter form to see if a follow up was required

when financial policies change. which of the following is the practice's responsibility - mailing to pt

first step to travel arrangements for providers to attend a conference - itinerary

times the physician is not available to see pt - matrix

who has the right to decide how and whom the information is communicated - provider

pt who is scheduled for a surgery and has questions about complications are directed to - provider

the NPI number identifies - provider to payer

duties of the cmaa at the end of the day - start opening procedure for next day

before making an appt the cmaa needs - referral form

recently laid off pt calls the office to discuss payment option. appropriate option - hardship payment plan

wave scheduling should be used by - three pt to be at same time

a circumstance in which medical records would be removed from a provider's office - when a subpoena has been issued

blood borne pathogens standards all under which agency - OSHA

ABN provides which information - identified service medicare will not pay

an urgent referral to a specialist should be expected within what time frame - 24 hours

which of the following requires as MSDS - chemical solutions

which of the following parts of medicare covers physicians devices - part B

a mother and father both have coverage for their child. according to birthday rule who will pay - parent whose birthday comes first in calendar year

when releasing confidential info, who has right to decide how information is communicated - the pt

a cmaa should do which of the following when greeting a pt - address the pt by full name in chart

ensure security compliance nan electronic health record system by - keeping system logged out when not in use

should be done to endure appropriate transmission of PHI to another provider - a fax cover sheet confidentiality disclosure statement

a cmaa can find which of the following information on a medical history form - social history

which forms becomes part of the medical history - health history

daily appointments scheduled is printed out in advanced because - to ensure charts are prepared

birthday rule - the pt whose birthday occurs earlier in the calendar year holds the primary policy for dependent children

a $15.00 unapplied balance remains after applying payments from a remittance advice (RA). which is the cmaa first step in reconciling the balance - review the detail of the line item applications

right to know law - allows employees to access information regarding work place safety

what must a cmaa verify before scheduling a pt for surgery - completion of pre-surgery laboratory values

when should should an advance beneficiary notice be completed - if a medicare provider believes a procedure may not be covered by medicare

example of an incidental disclosure - having a sign in sheet detailing the reason for each pt visit at check in

where is HIPAA compliance required - in all of medical organizations and must be part of the compliance plan

when are stat referrals used - in emergent situations

when are urgent referrals used - ncnlife threatening situation and are approved within 24 hours

what is capitation payment - form on managed care designed to have the physician provide health care to his members for a fixed payment at a contradicted interval

RBRVS - resource based relative value scale

schema used to determine how much money medical providers should be paid. it is partially used by medicare in the US and by nearly all health maintenance organizations (HMO)

when is release of info authorization needed - when a cmaa transmits a medical record

HITECH - collects delinquent accounts

day sheet - ensures accounts accounting

OSHA - oversees work place safety

encounter form - form needed for reimbursement

is an invoice considered a final record - no and it should not be stored

where does the retention of pt medical records vary - by state.

the cmaa should consult state guidelines

progress notes - part of authorization documentation and are forwarded to third party payers

EOB (explanation of benefits ) - document from an insurance carries that shows how the amount of the benefit was determined

how does practice management software produce pt - by procedure

how is pt health record produced - using HER software

disbursement journal - tracks payment and details, including dates, check numbers, and payers. this is a specific function of manual and automotive systems

when are tickler files used - reminders and are based on the needs of pt

when is a doctors order needed - for all diagnostic procedures

what is the cmaa function in the audit process - maintain day sheets

when is cmaa required to maintain a disclosure log - when providing PHI to authorized recipients

what is cmaa first step to obtain when scheduling an in-patient admission - physicians order.

malfeasance - wrongdoing, especially by public officials

nonfeasance - failure to perform an act that is required by law

negligence - unintentional tort alleged when a person may have performed or failed to perform an act that a reasonable person would not or would not have done in similar circumstances

misdemeanor - if a provider fails to reports pt informations regarding child abuse, the provider may be charged with this

block style - most efficient

what is a practice analysis - financial report. gives financial snapchat of how the business performed and is generated by the practice management systems

MSN - medicare version of an explanation of benefits

ABN - used when a procedure is excluded from the medicare fee schedule

annotating process - highlighting