CMAA EXAM With Complete Solutions Latest Update, Exams of Nursing

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CMAA EXAM With Complete Solutions

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Which of the following items should a medical administrative assistant forward to a provider who is away from the office? - correct answers Urgent mail A medical administrative assistant is preparing to mail a medical device to a patient. Which of the following types of extra services should the assistant use to ensure the package has protection against loss or damage of up to $5,000? - correct answers Insured Mail Insured mail is an extra service providing protection against loss or damage of up to $5,000. Which of the following tasks should a medical administrative assistant perform? - correct answers Complete an inventory list of office supplies. The assistant should complete an inventory of office supplies. A medical administrative assistant is creating an appointment for a patient. Which of the following actions

should the assistant take first? - correct answers Confirm the patient or caller's identity. Confirming the patient or caller identity is the first step taken by the assistant and is important in avoiding duplicate records and verifying identifiers, such as name and date of birth. A medical administrative assistant discovers two charts that they suspect are for the same patient. Which of the following are two identifiers the assistant should check to ensure the two charts are for the same patient? - correct answers Patient's last name and date of birth The assistant should check the patient's last name and date of birth to ensure the two charts are for the same patient. Which of the following is the process of determining how long specific account balances have been outstanding? - correct answers Account aging The process of determining how long specific account balances have been outstanding is called account aging. A medical administrative assistant is interacting with a patient who is uncooperative and is displaying emotional

distress due to an extended wait time to see the provider. Which of the following actions should the assistant take? - correct answers Express empathy to the patient. The assistant should express empathy to the patient. Which of the following types of consent should a medical administrative assistant rely upon when a patient cannot speak for themselves due to a medical emergency? - correct answers Implied Implied consent involves the patient consenting by nonverbal action or conduct, such as when the patient cannot speak for themselves due to a medical emergency. Which of the following involves groups of health care providers working in collaboration to provide high-quality patient care to Medicare recipients? - correct answers Accountable Care Organization (ACO) An ACO involves groups of health care providers working together to coordinate high-quality patient care for Medicare recipients. A third-party payer is requesting documentation to support billed services. Which of the following is the

appropriate document the medical administrative assistant should forward to the third-party payer? - correct answers Progress Notes Progress notes are part of the medical chart and include documentation pertaining to diagnostic findings. These documents are authorized to be forwarded to third-party payers to support billed services. A medical administrative assistant is verifying a patient's insurance coverage. After making a photocopy of the patient's insurance card, which of the following actions should the assistant take next? - correct answers Add the date to the photocopy of the card. The next step the assistant should take is timestamping the date the copy was made or writing in the date on the copy. Which of the following is the part of the endocrine system that produces melatonin and regulates sleep patterns? - correct answers Pineal gland The pineal gland is located in the brain and produces melatonin, which regulates sleep.

Which of the following establishes the units used to determine Medicare fee schedules based on overhead expenses, amount of work involved, and cost of malpractice insurance? - correct answers Resource-based relative value scale (RBRVS) A RBRVS establishes the units used in determining Medicare fee schedules based on overhead expenses, amount of work involved, and cost of malpractice insurance Which of the following actions should a medical administrative assistant take when processing critical mail for a provider who is out on vacation? - correct answers Consult with an on-call provider about the mail. The provider might prefer that the assistant consult with an on-call provider about critical mail rather than directly contacting the provider, who is on vacation. A medical administrative assistant should identify that which of the following ensures security of patient medical records? - correct answers Providing each staff member with their own individual login and password to access the records

The assistant should identify that providing each staff member with their own individual login and password ensures security of patient medical records. A medical administrative assistant is checking in several patients who showed up at the same time and are frustrated due to the extended wait period. Which of the following actions should the assistant take first to manage the frustrated patients? - correct answers Greet each patient with a smile. This is the first step the assistant should take. A medical administrative assistant should recognize that which of the following abbreviations is correct according to The Joint Commission's "Do Not Use" list? - correct answers PO PO is an abbreviation that is used to represent "by mouth" in prescriptions. It is not on The Joint Commission's "Do Not Use" list and can be included in documentation. Which of the following medical terms defines painful movement of the body or a body part? - correct answers Dyskinesia

Dys- (painful or difficult) and -kinesia (movement) combine to make the word dyskinesia, defined as painful movement of the body or a body part. Which of the following might a practice manager use to promote engagement for a team of medical administrative assistants? - correct answers Staff training Staff training can promote team engagement. Which of the following actions should a medical administrative assistant take to reduce the number of no- show appointments? - correct answers Call patients 1 to 2 days before their scheduled appointment. By calling 1 to 2 days in advance, patients are more likely to remember the appointment and it still allows for time to fill the schedule if the patient is unable to keep the appointment. Which of the following tasks is within a medical administrative assistant's scope of practice? - correct answers Managing accounts receivable The assistant can perform managing accounts receivable based on their scope of practice.

A medical administrative assistant is performing patient check-out at the end of a new patient appointment. Which of the following forms should the assistant provide a patient to obtain previous health history documents? - correct answers Medical records release A medical records release form is provided to the patient at check-out and is signed by the patient to authorize disclosure of previous health history documents. Which of the following information is necessary to confirm a patient's demographics? - correct answers Occupation To confirm demographics, a medical administrative assistant can refer to the patient's date of birth, name, Social Security number, address, place of employment, and occupation. A medical administrative assistant should verify a patient's CPT code for which of the following processes? - correct answers Obtaining Preauthorization Procedural PT codes are required, along with patient information, to obtain preauthorization from an insurance carrier for a procedure.

Which of the following represents a negative number on a patient's account and indicates an overpayment has been made? - correct answers Credit balance A credit balance occurs when the patient or insurance carrier makes a payment larger than the account balance or the insurance claim total. Which of the following methods enables scheduling of multiple patients during the first 30 minutes of each hour while still allowing flexibility throughout the hour for the provider to see all scheduled patients? - correct answers Wave Wave scheduling allows for flexibility of arrival times and allows enough time within each hour to see all scheduled patients. A patient reports a breach of confidentiality to a medical administrative assistant. The assistant should direct the patient to which of the following resources first? - correct answers Office Manager The first person to receive report of a HIPAA violation is the office manager, who is often also a practice's privacy officer.

A medical administrative assistant is processing claims for patients who are insured by a joint state and federal insurance program. Which of the following programs provides health care coverage to patients from a low- income population, certain age brackets, and those who have disabilities? - correct answers Medicaid Medicaid is a health coverage program for individuals of limited or low income. This type of program is completely funded by state and federal governments. Most states have their own type of insurance program and patients covered under this program must use participating providers. A medical administrative assistant is scanning patient charts into the new electronic health record (EHR). Which of the following patient identifiers should the assistant verify to prevent duplication of patient charts? - correct answers Social Security Number The assistant should primarily verify the patient's Social Security number to prevent duplication of patient charts since Social Security numbers are unique to each individual. A medical administrative assistant is preparing to create a patient file placeholder in the facility's electronic health record (EH). Apart from the patient's name, which of the

following pieces of information should the assistant obtain to maintain pre-appointment communication with the patient? - correct answers Telephone number The assistant should collect the patient's telephone number to communicate with the patient about pre- appointment information or changes to appointment times and dates. A provider prescribes an EKG for a patient who has a rapid heart rate. Which of the following should be recorded as the reason for the EKG? - correct answers Tachycardia Tachycardia is a heart rate greater than 100/min. Which of the following is a medical administrative assistant required to obtain before providing a patient's protected health information (PHI) to authorized recipients? - correct answers Signed release of information from the patient Before releasing a patient's PHI, the assistant must obtain written authorization from the patient through a disclosure form.

Which of the following documents identifies the denied claim and includes a statement from the provider detailing the medical reasoning for performing the procedure? - correct answers Appeal letter Insurance claims are generally denied when the supporting codes and documentation submitted do not justify medical necessity. Which of the following actions should a medical administrative assistant take to promote teamwork and team engagement among office staff? - correct answers Show initiative by helping with other office duties. To promote teamwork and team engagement, the assistant should show initiative by helping with other office duties. Which of the following terms is indicated by the abbreviation CVA? - correct answers Cerebrovascular accident CVA is the abbreviation for a cerebrovascular accident, which is also known as a stroke.

A medical administrative assistant is checking a patient out after their office visit. When providing the patient instructions, which of the following methods of teaching is the assistant using that involves explaining discharge instructions? - correct answers Compliance with the treatment plan This method of patient education involves the assistant explaining the discharge instructions to the patient. In which of the following situations is it allowable to release a patient's medical record? - correct answers When a court requests the record through a subpoena duces tecum A subpoena duces tecum is a legal document that mandates a healthcare professional bring a copy of the patient's medical record to court as evidence. This is an allowable situation for a release of information. A medical administrative assistant should identify that which of the following types of interpreters uses silent mouth speech, gestures, and hand codes for each speech sound? - correct answers Oral interpreter

The assistant should identify that an oral interpreter uses silent mouth speech, gestures, and hand codes for each speech sound. A medical administrative assistant is completing check- out for a new patient. Which of the following documents should the assistant request from the patient to document their medical power of attorney? - correct answers Advance directives The assistant should recognize that a medical power of attorney is an advance directive and, therefore, the assistant should request these documents from the patient. Advance directives are documents that empower a representative to make health care decisions for the patient. A medical administrative assistant is performing patient reception area maintenance tasks. Which of the following tasks is outside the assistant's scope of practice? - correct answers Cleaning the autoclave Cleaning the autoclave is outside the assistant's scope of practice. This task is performed by staff who work in the laboratory or instrument sterilization departments. A patient presents with chest pain, shortness of breath, heartburn, jaw pain, and syncope. Which of the following

conditions might the patient be experiencing? - correct answers Heart Attack A patient experiencing a heart attack might present with symptoms that include chest pain, shortness of breath, heartburn, jaw pain, and syncope. A medical administrative assistant should identify that which of the following abbreviations indicates a condition associated with the heart? - correct answers CAD CAD is the abbreviation for coronary artery disease, which is a condition associated with the heart. A medical administrative assistant is preparing an end-of- the-month billing report. Which of the following indicates a balance that could not be collected due to bad debt or contractual discounts? - correct answers Write-off A write-off indicates a balance that could not be collected due to bad debt or contractual discounts. A medical administrative assistant should include which of the following in the compliance plan when training new assistants? - correct answers Health Insurance Portability and Accountability Act (HIPAA)

HIPAA compliance is required of all medical organizations and must be part of the orientation and training of new employees. A medical administrative assistant is establishing a provider's appointment schedule matrix. Which of the following types of appointments is scheduled for 30 to 40 min? - correct answers Comprehensive visit A comprehensive visit is scheduled for 30 to 40 min. A medical administrative assistant is filing a claim for a child who has health insurance coverage under both guardians. Which of the following actions should the assistant take? - correct answers File the claim with the insurance plan of the guardian whose birthday comes first in the calendar year. The assistant should file the claim with the insurance plan of the guardian whose birthday comes first in the calendar year. The insurance plan of the guardian whose birthday occurs first in the calendar year is considered the primary insurance holder and the other guardian's plan is the secondary insurance. Which of the following describes the birthday rule? - correct answers The guardian whose day of birth occurs

earlier in the calendar year holds the primary policy for dependent children. This describes the birthday rule. A patient returns to the medical office to obtain a prescription refill, but the medical administrative assistant informs the patient it is too early for the refill. The patient becomes agitated and upset. Which of the following types of communication should the assistant use with this patient? - correct answers Active listening Active listening involves giving approving or disapproving nods during the conversation. The assistant should use active listening with a patient who is agitated A medical administrative assistant is training a new employee on the use of office equipment. The assistant should state that providers use which of the following types of office equipment to send orders to pharmacies? - correct answers Fax machine A fax machine is used by providers to send orders to pharmacies. A medical administrative assistant is establishing a schedule matrix using an electronic health record (EH)

system for a provider's office. Which of the following actions should the assistant take first? - correct answers Block times when provider is unavailable. The assistant should be sure to block times when the provider is unavailable first, then move on to developing the schedule matrix. A medical administrative assistant is conducting preoperative preparation for a patient procedure. Which of the following tasks is the assistant responsible for performing? - correct answers Gather current demographic and insurance information. The assistant should gather the current demographic and insurance information prior to a patient's procedure. A medical administrative assistant is providing a patient with a checklist from the Centers for Disease Control and Prevention (CDC) about ways to reduce the risk for falls. The assistant should identify that which of the following recommendations is included on the checklist? - correct answers Improve lighting in the home The CDC checklist recommends improving lighting in the home to reduce the risk for falls.

An 85-year-old patient, who is accompanied by a family member, asks a medical administrative assistant to clarify instructions regarding a procedure. Which of the following actions should the assistant take? - correct answers Observe the patient's nonverbal behavior to verify that they understand the information. The assistant should observe the patient's nonverbal behavior to verify that they understand the information. A medical administrative assistant is processing third- party claims. Which of the following is a claim where a third-party payer refuses to grant payment to a provider due to policy coverage issues? - correct answers Denied A claim is denied due to two types of issues: technical errors and insurance policy coverage issues. Therefore, the third-party refuses to grant payment to the provider. A medical administrative assistant is closing the office for the day. Which of the following actions should the assistant take? - correct answers Activate the alarm system. Activating the alarm system is a task the assistant would do when closing the office.

Which of the following protects an individual's right to actively participate in making decisions regarding their health care? - correct answers Patient's Bill of Rights The Patient's Bill of Rights communicates the legal rights of a patient's care while under the care of a provider or facility. All pages of a patient's medical record must include which of the following information? - correct answers Patient's name The patient's name is required on all pages of a medical record. A medical administrative assistant is preparing to submit electronic medical claims directly to the Centers for Medicare and Medicaid Services (CMS). Which of the following should the assistant use? - correct answers CMS-1500 claim form The CMS-1500 claim form is an electronic form for outpatient billing, which is what a provider's office is considered. A medical administrative assistant wants to use a computerized system that will monitor usage and

availability of supplies. Which of the following systems serves this purpose? - correct answers Inventory control system An inventory control system provides assistance with inventory management, working efficiently to monitor usage and available stock of supplies. Which of the following terms indicates an improper release of protected health information (PHI)? - correct answers Breach of confidentiality A breach of confidentiality is the failure to protect private information entrusted to a health care professional by a patient. A medical administrative assistant is transferring a call. Which of the following actions should the assistant take? - correct answers Give the caller their extension in case the call is disconnected. The assistant should provide the caller with their name and extension in case the call is dropped or disconnected. Which of the following information is included in an explanation of benefits (EOB)? - correct answers Claim adjustments

The EOB details the insurance carrier's results after processing a claim. These results include what was charged, what the insurance covered, and the amount the guarantor owes, including any adjustments based on the allowable amount charged for services. A medical administrative assistant receives a referral from a gastroenterologist for a hiatal hernia that requires additional testing. Which of the following actions should the assistant take? - correct answers Contact the referring provider. The assistant should identify that testing should be included in the referral for preoperative evaluation. Since the testing was not included, the assistant should contact the referring provider for the necessary information. Which of the following is a reason for the use of procedure codes? - correct answers To correlate procedures for a diagnosis and justify the necessity for medical services Medical necessity is established when the diagnosis matches the treatment explained using PT codes. This is a reason for the use of procedure and diagnosis codes.

A medical administrative assistant is providing a patient with instructions about fasting before their upcoming laboratory test. Which of the following statements should the assistant make? - correct answers "Do not eat or drink anything for 8 to 12 hours before the test. The assistant should instruct the patient to avoid eating or drinking for 8 to 12 hr before the laboratory test. Which of the following is required to establish medical necessity on the patient encounter form? - correct answers Diagnosis code A diagnosis code is required to establish medical necessity. Which of the following documents identifies which procedures are allowed if a patient becomes unable to communicate medical decisions? - correct answers Advance directives Advance directives are documents that describe what type of medical treatment a patient wants if the patient is no longer able to communicate. A medical administrative assistant should identify that a provider will document a patient's postoperative status

by charting in which of the following sections of an electronic health record (EHR)? - correct answers Progress note The assistant should identify that the provider will document a patient's postoperative status in the progress note section of the EHR. A medical administrative assistant is scheduling a follow- up visit for a patient who requests a reminder via text message. Which of the following actions should the assistant take? - correct answers Verify the patient's phone number. The assistant should verify the patient's phone number when a reminder via text message has been requested by the patient. Which of the following must a medical administrative assistant complete before a patient procedure can be performed? - correct answers Preauthorization The assistant must obtain preauthorization from the insurance company before the procedure is performed. Which of the following is an example of a community resource for patients who require assistance with care

following a surgical procedure? - correct answers Home health services Home health services can provide assistance and resources for patients experiencing a variety of care needs, including those who have recently undergone surgery. Which of the following types of housing for patients provides help with ADLs such as feeding, bathing, dressing, and ambulating? - correct answers Long-term care facility A long-term care facility provides help with ADLs such as feeding, bathing, dressing, and ambulating. Which of the following would the assistant identify as the professional tasked with entering data into the electronic health record (EHR) as a patient's examination is being conducted? - correct answers Scribe The assistant is assuming the role of a scribe, which includes entering data into the EHR as the patient's examination is being conducted. Which of the following information is part of a patient's social history? - correct answers Substance use