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A variety of topics related to the duties and responsibilities of a medical administrative assistant, including patient record management, insurance claims processing, medical terminology, scheduling procedures, and other administrative tasks. It provides insights into the day-to-day operations of a healthcare facility and the role of the medical administrative assistant in ensuring efficient and compliant patient care. A range of scenarios and best practices that a medical administrative assistant would encounter, such as handling patient information, coordinating appointments, and communicating with providers and insurance companies. By studying this document, one can gain a comprehensive understanding of the essential skills and knowledge required to excel as a medical administrative assistant in a healthcare setting.
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When creating a reception area for a pediatric clinic, which of the following items should the medical administrative assistant include? a. Accessible coffee and tea b. Artificial plants and floral arrangements for aesthetics c. stuffed animals and small building blocks d. candles are a fire hazard, and scented items might not be pleasing to all patients. - Answer b Which of the following medical record filing systems protects patients' privacy and allows for unlimited expansion in a high-volume office? a. Numeric b. Alphabetical c. Subject filing d. Chronological - Answer a Which of the following form is used to submit health insurance claims for inpatient services in a facility or hospital? a. UB- 04 b. CMS- 1500 c. DE 2501 d. CMS-1490s - Answer a 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 test results regarding a minor's prior condition without written authorization d. supplying a patient's medical documentation to an insurance company - Answer a Which of the following prefixes means "abnormal"? a. Ad- b. Dia- c. Dys- d. Ab- - Answer c Which of the following should a medical administrative assistant 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) - Answer c Which of the following is the abbreviation for an electroencephalogram? a. EKG b. EEG c. ECG d. EBB - Answer b A medical administrative assistant is reviewing the release form of a patient who is a dependent minor. The assistant should ensure that who of the following signed the release form? a. A parent b. the minor c. the attending provider
d. the legal custodian - Answer d 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 - Answer b A collected specimen needs to be sent to an outside laboratory. Which of the following actions is within the scope of practice of a medical administrative assistant? a. Process the requisition for shipment b. match the specimen to the demographics on the patient's chart c. prepare the specimen for secure transport d. ensure proper storage of the specimen prior to shipment - Answer a A patient's chart indicates the need for PT as a result of a strained muscle. The medical administrative assistant should recognize the abbreviation for PT as which of the following? a. prothrombin time b. patient temperature c. physical therapy d. puncture tear - Answer c A patient authorizes a third-party payer to reimburse a provider directly by signing which of the following? a. accept assignment b. advance beneficiary notice (ABN) c. advance directives d. assignment of benefits - Answer d
A patient is afebrile and has rhinorrhea. The medical administrative assistant should understand this as which of the following? - Answer A runny nose but no fever A patient receives an explanation of benefits stating services will not be covered because out-of-pocket medical expenses have not been met. The amount owed is defined as which of the following? - Answer Deductible Which of the following types of insurance plans was developed to provide affordable, comprehensive, prepaid health care to policyholders? - Answer Health Maintenance Organization (HMO) A medical administrative assistant should verify a patient's CPT code for which of the following processes? - Answer Obtaining prior authorization A medical administrative assistant should include which of the following in the compliance plan when training new medical administrative assistants? - Answer HIPAA compliance Which of the following parts of Medicare pays for hospitalization? - Answer Part A Based on HIPAA guidelines, a medical administrative assistant should take which of the following safeguards when leaving a workstation? - Answer Lock the computer Which of the following telephone calls should the medical administrative assistant route directly to the provider? - Answer A provider from another office needs to discuss a patient's case
Which of the following medical terms refers to the removal of all or part of an organ or tissue? - Answer Lymphadenectomy At which of the following times should the medical administrative assistant pull a patient's daily chart? - Answer The evening before the patient's appointment Which of the following describes a difference between electronic medical records and paper medical records? - Answer Electronic medical records are more secure Which of the following is the purpose of a matrix? - Answer To indicate when a provider is unavailable to treat patients Which of the following actions is appropriate for a medical admin. Assistant to take when processing incoming mail? - Answer Shred unwanted mail Which of the following mail services is most commonly used by medical facilities? - Answer First-Class Mail Which of the following information is included in an explanation of benefits (EOB)? - Answer Claim adjustments A medical administrative assistant discovers an error in an EMR from a previous patient visit. Which of the following actions should the assistant take? - Answer Make a new entry in the EMR with the correct information Which of the following greetings by the medical administrative assistant is appropriate when addressing a new patient at the registration desk? - Answer Good afternoon, Ms. Smith. How are you today?
A schedule is made for patients to have physical examinations on Tuesday afternoons and Thursday mornings. This is an example of the following types of scheduling? - Answer Cluster Which of the following is an example of stream scheduling? - Answer Patients are assigned a specific appointment time Prior to an invasive procedure, a patient asks a medical administrative assistant about other options that are available. Which of the following actions should the assistant take? - Answer Advise the patient to ask the provider about alternatives After deactivation the security system, which of the following actions should a medical assistant take next when opening the office in the morning? - Answer Access the answering service When is it appropriate for a MA to release test results to a patient's family member? - Answer When the patient provides a signed release of information that identifies the family member A patient, who previously smoked on a regular basis, no longer smokes. Which of the following abbreviations represents the section of the medical record in which this information should be documented? - Answer PH When a MA transmits a medical record, which of the following documents is required? - Answer Release of information authorization form An established patient calls to cancel an appointment for the following week. Which of the following actions should the mA take? - Answer Offer the next available appointment to the patient
Which of the following actions is necessary if a prescribed CPT code is not listed on the preprinted patient encounter form? - Answer Manually add the procedure code to the form A patient who was given instructions to stop taking aspirin 1 week prior to surgery informs the MA that she forgot to follow instructions which of the following actions appropriate for the assistant to take? - Answer Speak with the provider about rescheduling the procedure Which of the following should a MA give to a patient when scheduling a routine return visit? - Answer An appointment reminder A patient needs to have his gallbladder removed. The MA should schedule the patient for which of the following procedures? - Answer Cholecystectomy A MA should take which of the following actions to confirm a new patient's first appointment without violating the patient's privacy? - Answer Speak with the patient on the phone Microsoft Excel is an example of which of the following types of programs? - Answer Spreadsheet application 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? - Answer Tachycardia 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? - Answer Abandonment
A provider asks a MA to schedule a patient's next appointment for arthrocentesis of the right shoulder. This would be an appointment for which of the following? - Answer Surgical puncture to remove fluid from the right shoulder joint A patient requests a follow-up visit for an unavailable time slot. Which of the following actions is appropriate to take? - Answer Schedule an appointment closest to the requested time slot Which of the following is responsible for setting the standards for protection against blood borne pathogens? - Answer OSHA A provider is called out of the office for an emergency while patients are in the waiting room. After informing the patients, which of the following is an appropriate way to manage the patients? - Answer Try to reschedule the appointments before the patients leave Which of the following insurance plans provides coverage for patients who are 65 or older and patients who have disabilities? - Answer Medicare How often should a MA update the demographics of an established patient? - Answer At every visit Informed consent is required in which of the following situations? - Answer Suturing a wound Which of the following items should be sent by Certified Mail? - Answer Dismissal Letter In addition to a witness and the adult patient, which of the following individuals must be present for an informed consent signature? - Answer Provider
According to OSHA guidelines, which of the following is the appropriate way to file a complaint with OSHA? - Answer Submit an online form Which of the following is another name for the patient encounter form? - Answer Superbill Which of the following is an abbreviation for a type of routine blood test? - Answer CBC Employers are mandated to provide a training program to employees regarding OSHA guidelines within which of the following timeframes? - Answer Before an employee begins work and annually thereafter A patient who has Medicare and had an annual wellness visit (AWV) 10 months ago calls to schedule their next one within the week. Which of the following actions is appropriate for MA to take? - Answer Explain that the AWV cannot be scheduled for another 2 months A 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? - Answer Coinsurance After scheduling an appointment, a new patient who has insurance coverage asks the MA what the cost of the office visit will be. Which of the following actions by the assistant is appropriate? - Answer Provide an estimate based on allowable amounts Which of the following greetings by a MA is appropriate when answering the telephone? - Answer Good afternoon, cardiology clinic, Mary speaking. How may I direct your call?
When performing closing procedures for the day. Which of the following bust be secured with a lock and key? - Answer Provider's prescription pad Which of the following abbreviations should an MA use to document a patient history of stroke? - Answer CVA Which of the following patient conditions is appropriate to schedule with a gastroenterologist? - Answer Crohn's disease When greeting a patient at the reception desk, which of the following should the MA obtain? - Answer Insurance information 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? - Answer Progress notes Which of the following is an appropriate use of modified-wave scheduling for one provider with 20-min appointments? - Answer Scheduling 2 patients at 9AM and 2 at 9:20am A new patient provides a medical administrative assistant with her parent's Medicare card. The patient states that she is a dependent and is eligible to use the card. Which of the following actions should the assistant take? - Answer Explain to the patient that Medicare does not cover dependents. A MA should check a patient's demographic form for accuracy against which of the following? - Answer Driver's license A MA should use which of the following types of files to remind patients of future appointments or procedures? - Answer Tickler
A MA observes another office worker altering notes in a patient's record to justify medical necessity so that payment is made. What is this type of action considered? - Answer Fraud Which of the following information is necessary to confirm a patient's demographics? - Answer Occupation Which of the following is the most efficient method for a MA to collect payment for services? - Answer Collect due amounts at the time of the patient's visit Obtaining vital signs against a patient's will is an example of which of the following offences? - Answer Battery A dental office increases the cost of a routine teeth cleaning. The MA should take which of the following actions? - Answer Update the fee schedule Which of the following forms is required to ensure a clean claim for an established patient? - Answer Encounter form Which of the following suffixes relates to falling or prolapsing? - Answer ptosis Which of the following sections of a patient's progress note contains the reason for the visit? - Answer CC Which of the following is the primary purpose of a medical record? - Answer To document the encounters between providers and patients A MA in a multi-specialty practice is scheduling an appointment for a patient who has an arrhythmia. The assistant should schedule an
appointment with which of the following providers? - Answer Cardiologist A MA is creating a business correspondence. Which of the following salutations is appropriate for the assistant to use? - Answer Dear Mr. Goodwin Using the Bcc option when sending an email message dies which of the following? - Answer Protects the privacy of each recipient's email address Which of the following information should a MA verify on a referral? - Answer Insurance coverage During which of the following processes is a MA relieved from gaining authorization from a patient? - Answer Release of info for treatment, payment, and health care operations A patient calls the provider's office reporting chest pain. Which of the following is the most appropriate action for the MA to take? - Answer Advice the patient to call emergency services When documenting patient's data and preparing and reviewing written communication, the MA should identify which of the following as a misspelled term? - Answer Pychology Which of the following describes the purpose of the general duty clause as outlined by OSHA? - Answer It requires employers to maintain a workplace free from hazards that might cause serious harm or death An office manager asks a MA to mail a letter to a patient who is being dismissed from the practice. Which of the following methods should the assistant use to mail the letter? - Answer Certified Mail
A patient refuses to pay his copayment. Which of the following actions should the MA take? - Answer Inform the patient that the copayment is due at time of service When a patient requires a diagnostic procedure, which of the following is required? - Answer Written order form the provider Which of the following word roots means "Abdominal wall"? - Answer Lapar/o Which of the following actions should a MA take when scheduling a new patient for a physical examination? - Answer Inform the patient of the appointment cancellation policy Which of the following is a condition in which a gland located in the neck procedures excessive hormones? - Answer Hyperthyroidism All pages of patient's medical record must include which of the following information? - Answer Patient name When a MA makes arrangements for a staff member to attend a conference, which of the following is the most important step for keeping the office informed? - Answer Distribute the travel itinerary Which of the following is an example of open hours scheduling? - Answer Patients arrive at their own convenience Which of the following describes the presence of several large kidney stones? - Answer Nephrolithiasis Which of the following actions is a MA priority when pulling daily charts? - Answer Review the appointment schedule
Which of the following is an appropriate action to take when updating patient demographic information? - Answer Check that the patient signed and dated the patient information form What should the MA use to determine the proper way to dispose of an expired chemical cleaning product? - Answer MSDS A MA is composing a business letter. Which of the following signatures illustrates the correct formatting for the provider's name? - Answer Mary Smith, M.D. Which of the following actions should a MA take to reconcile a bank deposit at the end of the day? - Answer Make sure the total value of checks and cash equals the deposit slip amounts Which of the following methods organizes patient records in chronological order according to the department that provided the care? - Answer SOMR Which of the following is an appropriate strategy for scheduling a patient who was late for his two previous appointments? - Answer Schedule the patient for the last appointment of the day A medical office stays in compliance by annually updating which of the following parts of the encounter form? - Answer Diagnosis codes When scheduling an inpatient admission, which of the following steps should a MA take first? - Answer Obtain the provider's order Which of the following items is appropriate to purchase with petty cash? - Answer Postage owed for an equipment delivery
A MA is scheduling an appointment for an established patient who had a kidney transplant and reports an intermittent fever. Which of the following actions should the assistant take? - Answer Forward the call to a triage nurse According to the Affordable Care Act of 2010, what is the maximum allowable time from the date of service that a claim can be submitted to Medicare? - Answer 12 months