Medical Administrative Assistant (MAA) Duties and Responsibilities, Exams of Nursing

Download Medical Administrative Assistant (MAA) Duties and Responsibilities and more Exams Nursing in PDF only on Docsity! CMAA NHA Certification Exam Quizzes And Ans.. An office manager asks an MAA to mail a letter to a patient who is being dismissed from the practice. Which of the following methods should the MAA use to mail the letter? Certified mail, first-class mail, priority, or standard? Answer- Certified Mail A MAA should verify a patient's CPT code for which of the following processes: Coordination of Benefits, Determining Eligibility of services, Obtaining prior authorization, or receiving a referral? Answer- Obtaining prior authorization Prior to an invasive procedure, a patient asks an MAA about other options that are available. Which action should the MAA take? Inform the patient of commonly used alternatives; Advise patient to ask the provider for alternatives; seek out a clinical MA to explain alternatives; Provide the patient with alternate providers phone numbers. Answer- Advise the patient to ask the provider for alternatives. Which of the following abbreviations should a MAA use to document a patient history of a stroke? CHF; CVA; MI; or MS? Answer- CVA (means Cerebrovascular accident AKA stroke) Which of the following items is appropriate to purchase with petty cash: Postage owed for equipment delivery; five boxes of computer paper; a gift card for employee of the quarter; or the providers cell phone payment. Answer- Postage owed for equipment delivery When performing closing procedures for the day, which of the following must me secured with a lock and key? Exam rooms; scheduling book; baking deposit slip; Provider's prescription pad Answer- provider's prescription pad Which of the following is the abbreviation for an electroencephalogram? EKG; EEG; ECG; or EBB Answer- EEG An MAA observes another office worker altering notes in a patient's record to justify medical necessity so that payment is made. What is this action considered? Negligence; Fraud; Auditing; Unbundling. Answer- Fraud A patient receives an EOB stating services will not be covered because of Out-of- pocket medical expenses not yet met. The amount owed is defined as? Deductible; Copay; Allowed amount; Coinsurance. Answer- Deductible Which of the following is an example of open hours scheduling? Patients arrive at their own convenience; Multiple patients are seen and one time; patients who have similar diagnoses are sched for the same time; or multiple patients are scheduled at the beginning of each hour? Answer- Patients arrive at their own convenience. Which of the following is the most efficient method for an MAA to collect payment for services? Collect the amount due at the time of the patient's visit; send a monthly statement to the patient; call the patient to establish payment plan; or use an outside collection agency. Answer- Collect the amount due at the time of the patient's visit. Which of the following medical terms is part of an organ or tissue? Lymphadenectomy; Episiotomy; Colostomy; or Thoracotomy? Answer- Lymphadenectomy A patient refused to pay his copay. What should the MAA do? Offer to waive the fee; tell the patient to call the insurance carrier; advise the patient that the copay will be added to their bill; or inform the patient the copay is due at the time of service. Answer- Inform the patient the copay is due at the time of service. A 3rd party payer is requesting documentation to support billed services. Which of the following is the appropriate document the MAA should forward? Notice of Privacy Practices; Disclosure form; Progress notes; patient registration form? Answer- Progress notes. Which of the following actions is an MAA's priority when pulling daily charts? Place charts in appropriate exam room; review appointment schedule; review charts for accuracy; arrange charts sequentially. Answer- Review appointment schedule. In addition to a witness and the adult patient, which of the following individuals must be present for an informed consent signature? A Family member; Lawyer; office manager; or provider. Answer- Provider All pages of a patient's medical record must include which of the following information: Insurance ID number; Patient address; patient name; or ss number Answer- patient name Which of the following medical record filing systems protects patients' privacy and allows for unlimited expansion in a high-volume office? Numeric; alphabetical; subject filing; or chronological? Answer- Numeric Which of the following should an MAA give to a patient when scheduling a routine visit: an encounter form for the next visit; a copy of the patient's prescriptions; a financial responsibility form; or an appointment reminder? Answer- An appointment reminder. A new patient provides an MAA with her parent's medicare card. The patient states that she is a dependent and is eligible to use the card. What should the MAA do? Accept the medicare card; contact medicare to see if the patient is a covered dependent; explain to the patient that medicare does not cover dependents; or include the parent's name on the superbill? Answer- Explain to the patient that medicare does not cover dependents. A patient who previously smoked on a regular basis no longer smokes. What abbreviation represents the section of the medical record in which this information should be documented? CO; FH; PH; or DX? Answer- PH (Previous History) Which of the following approaches is appropriate when preparing a patient for surgery? Mail written instructions to the patient; review written instructions with the patient; request someone to call from the surgeon's office with instructions; or advise the patient to call the surgery center for instructions. Answer- Review written instructions with the patient. An MAA creates an invoice for the remaining percentage on an encounter fee after receiving a copayment. This portion is considered to be? Capitation Payment; Coinsurance; Deductible; or Coordination of Benefits. Answer- Coinsurance A patient needs to have his gallbladder removed. The MAA should schedule the patient for which of the following procedures? Appendectomy; Adenectomy; Cholecystectomy; or colectomy Answer- Cholecystectomy When creating a reception area for a pediatric clinic, which of the following items should the MAA include? Accessible coffee and tea; artificial plants and floral arrangements; stuffed animals and small building blocks, or scented candles to mask odors? Answer- Artificial plants and floral arrangements A medical office stays in compliance by an annually updating which of the following parts of the encounter form? List of providers at the practice; diagnosis codes; address of the office; providers' NPI numbers Answer- Diagnosis codes As an established patient calls to cancel an appointment for the following week. Which of the following actions should the MAA take? Bill the patient for the missed visit; keep the original appointment scheduled and use for walk-ins; offer the next available appointment to the patient; or discuss the reason for canceling the appointment? Answer- Offer the next available appointment to the patient. During which of the following processes is an MAA relieved from gaining authorization from a patient? Release of information for treatment, payment and health care operations; Release of information to an outside provider; release of information to an attorney's office; release of information to the department of health? Answer- Release of information for the treatment, payment, and health care operations. Which of the following actions is necessary if a prescribed CPT code is not listed on the preprinted patient encounter form? Enter the most common procedural code used in the office; Upcode the prescribed procedure and select it on the form; Use the code on the patient's previous encounter form; or Manually add the procedure code to the form. Answer- Manually add the procedure code to the form Which of the following word roots means "abdominal wall"? Gastr/o; Myel/o; Aden/o; and Lapar/o Answer- Lapar/o Which of the following sections of a patient's progress note contains the reason for the visit? PE; ROS; CC; or SH Answer- CC A collected specimen needs to be sent to an outside laboratory. Which of the following actions is within the scope of practice of an MAA? Match the specimen to the demographics on the patient's chart; process the requisition for shipment; prepare the specimen for secure transport; or ensure proper storage of the specimen prior to shipment. Answer- Process the requisition for shipment. Using the Bcc option when sending an email message does which of the following? Requires the recipient to send a confirmation of receipt; records a copy of the message on the sender's hard drive; indicates the message has a high priority; protects the privacy of each recipient's email address Answer- Protects the privacy of each recipient's email address Which of the following information should an MAA verify on a referral? Insurance coverage; emergency contact; driver's license number; financial hardship. Answer- Insurance coverage Which of the following mail services is most commonly used by medical facilities? First-class mail; media mail; parcel post; second-class mail Answer- First-class mail What should the MAA use to determine the proper way to dispose of an experienced chemical cleaning product? MSDS; EOP; RACE; CLIA. Answer- MSDS Which of the following actions should an MAA take to reconcile a bank deposit at the end of the day? Make sure the total value of checks and cash equals the deposit slip amounts; copy insurance claim amounts onto the front of the deposit slip; cross- reference payment amounts with the accounts payable ledger; ensure credit card slips are attached to the deposit Answer- Make sure the total value of checks and cash equals the deposit slip amounts. Informed consent is required in which of the following situations? Drawing blood; suturing a wound; transferring a patient's medical records; a provider terminating patient care. Answer- Suturing a wound Which of the following prefixes means "abnormal"? Ad-; Dia-; Dys-; Ab- Answer- Dys- Based on HIPAA guidelines, an MAA should take which of the following safeguards when leaving a workstation? Lock the computer; Exit the program; turn on the computer monitor; minimize open programs. Answer- Lock the computer An MAA should include which of the following in the compliance plan when training new MAA's? Joint commission compliance; HIPAA compliance; NAHIT compliance; CLIA compliance. Answer- HIPAA compliance Which of the following insurance plans provides coverage for patients who are 65 or older and patients who have disabilities? Medicaid; tricare; medicare; CHAMPVA Answer- Medicare A dental office increases the cost of a routing teeth cleaning. The MAA should take which of the following actions? Update the fee schedule; Notify insurance companies to update the allowed amount on their payment schedule; Update patients' accounts with the new fee schedule; or notify referral sources of the change. Answer- Update the fee schedule Which of the following is an example of an incidental disclosure? Having a sign-in sheet that includes the patient's name and provider; disclosing a patient's diagnosis to a family member who is not involved in the patient's care; providing a grandparent with test results regarding a minor's prior condition without written authorization; supplying a patient's medical documentation to an insurance company. Answer- Having a sign-in sheet that includes the patient's name and provider After deactivating the security system, which of the following actions should an MAA take next when opening the office in the morning? Answer- Access the answering service. An MAA 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 parent; the minor; the attending provider; the legal custodian Answer- The legal custodian Which of the following should an MAA complete if a provider believes Medicare might not cover a procedure? Medicare Summary Notice; Remittance advice; Advance Beneficiary Notice; Explanation of benefits. Answer- Advance beneficiary notice. Which of the following forms is required to ensure a clean claim for an established patient? Day sheet; progress note; encounter form; or CMS-1500 claim form? Answer- Encounter form An MAA should check a patient's demographic form for accuracy against which of the following? Driver's license; medical history form; authorization for treatment; assignment of benefits. Answer- Driver's license Which of the following is the primary purpose of a medical record? To collect information for a patient's future use; to document encounters between providers and patients; to keep info for the insurance company to audit; to serve as a legal document in court. Answer- To document encounters between providers and patients Which of the following suffixes relates to falling or prolapsing? -penia; -plasia; - ptosis; -phoria Answer- -ptosis An MAA is creating a business correspondence. Which of the following salutations is appropriate for the assistant to use? Dear Mr. Goodwin; Dear Mr. Mark Smith M.D; Re: Jane Hudley; or Dear Dennis, Answer- Dear Mr. Goodwin An MAA should take which of the following actions to confirm a new patient's first appointment without violations the patient's privacy? Send a text message; send the A provider 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 for the MAA to manage the patients? Try to reschedule the appointments before the patients leave; Have the patients wait until the provider returns; tell the patients they cannot be seen today; or have the patients call back to reschedule. Answer- Try to reschedule the appointments before the patients leave. Obtaining vital signs against a patient's will is an example of what offense? Assault; Battery; Negligence; or Fraud Answer- Battery How often should an MAA update the demographics of an established patient? At every visit; once a year; when the patient is referred to a specialist; or when preparing the patient's billing statement Answer- At every visit An MAA in a multi-specialty practice is scheduling an appointment for a patient who has an arrhythmia. The MAA should schedule an appt with what provider? Neurologist; Cardiologist; Pathologist; or Pulmonologist? Answer- Cardiologist. Which of the following types of insurance plans was developed to provide affordable, comprehensive, prepaid health care to policy holders? Health savings account; point of service plan; preferred provider organization; or health maintenance organization Answer- health maintenance organization Which of the following forms is used to submit health insurance claims for a provider's office? UB-04; CMS-1500; DE 2501; or CSM-1490S Answer- CMS-1500 When greeting a patient at the front desk, which of the following should the MAA obtain? Chief complaint; current meds; insurance information; or surgical history Answer- Insurance information Microsoft Excel is an example of which of the following types of programs: Database management; Spreadsheet application; word processing or graphics application Answer- Spreadsheet application Which of the following is an appropriate use of modified-wave scheduling for one provider with 20-min appointments? Scheduling 2 patients at 9 AM and one at 920; 2 patients at 9 and one at 930, 3 patients at 9 and one at 930 or 3 patients at 9 and 3 at 940? Answer- Scheduling 2 patients at 9AM and one at 920 A patient requests a follow up for an unavailable time slot. Which of the following actions does the MAA take? Allow the patient to come to the office and wait for a possible cancellation; schedule an appointment closest to the requested time slot; delay scheduling the patient and have her call back daily; ask the patient to look at the schedule and choose. Answer- Schedule an appointment closest to the requested time slot A patient who was given instructions to stop taking Aspirin 1 week prior to surgery informs the MAA that she did not follow instructions. What should the MAA do? Advise the patient to during plenty of water to dilute the aspirin; inform the patient that the procedure will be cancelled; ask the patient if it was a low dose; or speak to the provider about rescheduling Answer- Speak to the provider about rescheduling Which of the following parts of medicare pays for hospitalization? Part A; b; c; or d Answer- Part A A patient calls the providers office reporting chest pain. What is the most important action for the MAA to take? Tell the patient to come in right away; take a message and page the provider; reference the patient chart;or advise the patient to call the ER Answer- advise the patient to call the ER An MAA should use which of the following types of files to remind patients of future appointments or procedures? Indirect; Direct; tickler; or reserved Answer- Tickler Which of the following greetings by an MAA is appropriate when answering the telephone? Hello, cardiology can you please hold?; good afternoon how can I help you?; Hello cardiology clinic Mary speaking may I ask who is calling?; Good afternoon, cardiology clinic, Mary speaking. How may I direct your call? Answer- Good afternoon, cardiology clinic, Mary speaking. How may I direct your call? When documenting a patients data and preparing and reviewing written communication, the MAA should identify which of the following as a misspelled term? Necessary; Pychology; Conscious; or disease Answer- Pychology A provider prescribes an EKG for a patient who has a rapid heartbeat. Which of the following would be the reason for the EKG? Tachypnea; Bradypnea; tachycardia; bradycardia Answer- Tachycardia A patient's chart indicates the need for PT as a result of a strained muscle. What is PT? Answer- Physical Therapy A new patient arrives at the reception desk while the MAA is assisting another patient on the phone with a scheduling question. Which of the following actions should the assistant take when greeting the new patient? Place the scheduling patient on hold while checking in the new patient; Make eye contact and nod his head to acknowledge the patient's arrival; Indicate nonverbally for the new patient to take a seat in the waiting area; Give the new patient a registration form and point to the sections that need completing. Answer- Make eye contact an nod his head to acknowledge the patient's arrival A patient is allergic to eggs and therefore cannot receive influenza immunization. The medical administrative assistant should recognize the patient's egg allergy is which of the following? Adverse effect; Precaution; Contraindication; Interaction. Answer- Contraindication Which of the following is an eligibility requirement for Medicaid? Over 65 years of age; Low income; Self-employed; Veteran. Answer- Low income A patient calls to request her immunization record be emailed to her. Which of the following actions should the medical administrative assistant take first? Document the information transfer in the patient's record; Fax, rather than email, the record; Bill for the processing fee; Check the patient's file for written authorization. Answer- Check the patient's file for written authorization A patient submits $15 each time he receives treatment. The medical administrative assistant should recognize this amount is applied to which of the following parts of the patient's insurance payments? Coinsurance; Copayment; Deductible; Premium. Answer- Copayment A medical administrative assistant receives a call from a father requesting to speak to a clinical staff about the correct dosage of medication for his infant. Which of the following information is necessary for the assistant to obtain when taking a phone message from this caller? Date of birth of the caller; Name of the caller's primary care provider; insurance ID number; Time of the call. Answer- Time of the call Which of the following information should the medical administrative assistant include on a claim form? OPIM; OIG; NPI; COD. Answer- NPI Insurance policies contain which of the following provisions to avoid overlapping payments? Assignment of benefits; Remittance advice; Explanation of benefits (EOB); Coordination of benefits. Answer- Coordination of benefits 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? Office of the Inspector General (OIG); Provider; Office manager; Officer for Civil Rights (OCR). Answer- Office manager When a hazard is present in a facility that is not specifically addressed by OSHA, which of the following applies? The employer must use the guidelines from the most applicable existing record standard; The employees should purchase personal protective equipment; The employees are covered by the general duty clause; The employer must submit a new standard for OSHA to review. Answer- The employees are covered by the general duty clause A medical administrative assistant is working with a mother who is receiving care after the birth of her newborn. Which of the following describes the mother's condition. Intranatal; Perinatal; Antepartum; Postpartum. Answer- Postpartum When the insurance carrier sends payment to the provider, which of the following is included with the check? Advance Beneficiary; Coordination of benefits; aging account report; Remittance advice. Answer- Remittance Advice Fee schedules are based on which of the following? ASA; CMS; RBRVA; AMA. Answer- RBRVS Which of the following parts of Medicare offers prescription benefits? Part A; Part B; Medicare Advantage; Part D Answer- Part D Which of the following describes a provider who has a contract with a third-party payer? PPO; PAR; HMO; POS Answer- PAR