Medical Administrative Assistant Responsibilities and Procedures, Exams of Nursing

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CMAA Benchmark

Which of the following oversees workplace safety? - correct answer ✔✔OSHA Once a physician signs an advanced directive, the medical administrative assistant should have which of the following witness the signature? - correct answer ✔✔Non-affiliated individual During which of the following processes is a medical administrative assistant relieved from gaining authorization from a patient? - correct answer ✔✔release of information for treatment, payment and health care operations (TPO) The "amount" that an insurance company may say is "not allowed" and not the responsibility of the patient, for a contracted physician, would become "what" on the patient's account? - correct answer ✔✔an adjustment When reviewing laboratory results, a medical administrative assistant should take which of the following actions after pulling the patient's chart and flagging abnormal results? - correct answer ✔✔Place the results on the provider's desk for review Which of the following is a medical administrative assistant's function in the audit process? - correct answer ✔✔maintaining day sheets Which of the following is a data security measure that limits viewing of a patient's records? - correct answer ✔✔role-based access A patient calls the physician's office and asks. for her test results. Which of the following is the appropriate action for the medical administrative assistant to take? - correct answer ✔✔Set up an appointment with the physician for the medical record results. Sue Tomas has group insurance. She was charged $75 for an office visit and $25 for a complete blood count, totaling $100. Her group insurance paid 80% of the charges, how much did they pay? - correct answer ✔✔$

A physician abruptly terminates a physician-patient contract. This can lead to which of the following? - correct answer ✔✔Abandonment of the patient A collected specimen needs to be sent to an outside laboratory. Which of the following is the first action the medical administrative assistant should take? - correct answer ✔✔Process the requisition for shipment When is it appropriate for a medical administrative assistant to use a speaker phone when listening to the office voicemail? - correct answer ✔✔When the assistant confirms patients have left the office for the day Which of the following is an appropriate use of a ticker file? - correct answer ✔✔To remind staff of date- specific tasks A medical administrative assistant should take which of the following actions when auditing payments made through petty cash? - correct answer ✔✔Maintain a pad of vouchers forpeuty cash disbursements Which of the following is the priority action for a medical administrative assistant to take when making a financial policy change? - correct answer ✔✔Notify all patients of the fee schedule policy change 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? - correct answer ✔✔abandonment Which of the following office procedure is outside the scope of practice for a medical administrative assistant? - correct answer ✔✔signing for a court ordered subpoena issued for the office A new patient leaves the office because the practice does not accept his insurance. Which of the following actions should the medical administrative assistant take to prevent this scenario? - correct answer ✔✔Verify insurance eligibility prior to scheduling new patients. Which of the following allows employees to access information regrading workplace safety? - correct answer ✔✔right-to-know law

Which of the following is the best financial approach for a medical administrative assistant to take to minimize collection accounts? - correct answer ✔✔Maintain correct patient information Which of the following is correct about continuing education units (CEUs)? - correct answer ✔✔CEUs keep health professionals current with certification renewal requirements. Before adding medical records to a patient's chart the medical administrative assistant should take which of the following actions? - correct answer ✔✔ensure the provider has initialed reports A dentist office increases the cost of a routine teeth cleaning. The medical administrative assistant should take which of the following actions? - correct answer ✔✔Update the fee schedule Which of the following should a medical administrative assistant complete if a Medicare provider believes a procedure may not be covered by Medicare? - correct answer ✔✔Advanced Beneficiary Notice (ABN) Where should a medical administrative assistant verify third party benefits? - correct answer ✔✔patient ledger A providers office receives a remittance advice showing a denial code. The medical administrative assistant creates a formal written request for review of the rejected claim. The assistant should use which of the following formats? - correct answer ✔✔claim appeal The 15 year old daughter of a patient requests an HIV test. Which of the following forms of consent ensures the minor's privacy? - correct answer ✔✔informed Which of the following actions is required by a patient when requesting a copy of his medical record? - correct answer ✔✔complete a records release authorization Which of the following actions is a medical administrative assistant required to take when providing PHI to authorized recipients? - correct answer ✔✔Maintain a disclosure log

In addition to a witness and the adult patient, which of the following individuals must be present for an informed consent signature? - correct answer ✔✔provider Which of the following is the most efficient way for a medical administrative assistant to collect payment for services? - correct answer ✔✔Collect patient dues at the time of visit Several patients cancel their appointments for the day. Which of the following action should the medical administrative assistant take? - correct answer ✔✔Contact patients who are on the waiting list Which of the following is the main purpose of a day sheet? - correct answer ✔✔to ensure accurate accounting Which of the following forms is required to ensure a claim for an established patient can be processed without additional information from the provider? - correct answer ✔✔encounter form Which of the following actions should a medical administrative assistant take when collecting monies owed by a patient? - correct answer ✔✔Clarify the patients financial responsibility policy In which of the following locations should a medical administrative assistant store valued office items, such as checkbooks, prescription pads, and access keys? - correct answer ✔✔in a locked box Before lab results can be filed in the medical records, what is the CMAA's responsibility? - correct answer ✔✔make sure the provider has initialed the lab results Which of the following actions should a medical administrative assistant take to reconcile a bank deposit at the end of the day? - correct answer ✔✔make sure the total of checks and cash equal the deposit slip amount Which of the following names should be filed before Saintsans? - correct answer ✔✔St. John Which of the following procedures is best for a medical administrative assistant to track unpaid vendor invoices? - correct answer ✔✔create one file folder and mark as unpaid invoices

A provider insists scheduling patients every 15 minutes, but the clinical medical assistant is habitually late to the office after lunch. What is the appropriate action for the CMAA to take? - correct answer ✔✔Address the tardiness and scheduling issue with the office manager When a medical administrative assistant communicates information that contains PHI, which of the following means is appropriate? - correct answer ✔✔courier services What information should be considered when updating a provider's Medicare fee schedule? - correct answer ✔✔RBRVS Certified mail provides the sender with which of the following? - correct answer ✔✔proof of delivery When is it appropriate for a medical administrative assistant to release test results to a family member? - correct answer ✔✔when the patient provides a signed release of information that identifies the family member 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 answer ✔✔progress notes Which number is necessary for a provider to prescribe and dispense controlled substances? - correct answer ✔✔DEA In order to verify insurance coverage you should: - correct answer ✔✔call the insurance carrier for verification of current coverage On the CMS-1500 form the NPI number identifies which of the following? - correct answer ✔✔the provider who provided services Which of the following is an example of incidental disclosure? - correct answer ✔✔having a sign in sheet detailing the reason for each patients visit at check in

A provider is running 30 minutes behind schedule because of an early morning emergency. Which of the following actions should the medical administrative assistant take to maintain effective scheduling in the office? - correct answer ✔✔inform waiting patients that an emergency has caused a delay in the schedule and that they can wait or reschedule Which of the following is the purpose of a matrix? - correct answer ✔✔To indicate when a provider is unavailable to treat patients The individual record of the amounts owed and paid by each patient is found in which of the following? - correct answer ✔✔patient ledger Which of the following should a medical administrative assistant give to a patient when scheduling a routine return visit? - correct answer ✔✔an appointment reminder Which of the following is required to establish medical necessity on the patient encounter form? - correct answer ✔✔diagnosis code Informed consent is required in which of the following situations? - correct answer ✔✔when suturing a wound After incorrect explanation of benefits, a patient calls the physicians office insisting on viewing his medical record. What should the CMAA do? - correct answer ✔✔schedule an appointment with the office manager Which of the following is an OSHA regulation that must be reviewed yearly to ensure compliance? - correct answer ✔✔blood borne pathogen standard Which of the following is the most effective way for a CMAA to reduce the number of no-show appointments? - correct answer ✔✔call patients 1 to 2 days before a scheduled appointment For medical billing purposes, which of the following is good practice for a CMAA to update information from established patients? - correct answer ✔✔request verification of current patient information at each visit

Which term refers to the symptoms a patient is currently seen for? - correct answer ✔✔the chief complaint When is the appropriate time to print encounter forms for the days scheduled patients? - correct answer ✔✔once the patient arrives for the visit A patient requests a follow-up visit for an unavailable time slot. Which of the following actions is most appropriate for the CMAA to take? - correct answer ✔✔schedule an appointment closest to the requested time slot. During the patient check out procedure, a CMAA should take which of the following actions? - correct answer ✔✔schedule any follow up appointments Which of the following is an inappropriate use of an office memo? - correct answer ✔✔to communicate directly with an individual What form is signed by the patient to ensure that the insurance company pays the claim directly to the provider? - correct answer ✔✔assignment of benefits form A patient presents to the physician office with flu-like symptoms. Which of the following action should the CMAA take? - correct answer ✔✔ask for the patients demographic information Which of the following should a CMAA explain to new patients prior to an initialed visit? - correct answer ✔✔the procedure to cancel an appointment What is the maximum amount of time a patient should be put on hold? - correct answer ✔✔1 minute A CMAA should take which of the following actions when documenting a prescription refill? - correct answer ✔✔Date and initial the prescription refill in the patient's medical record When scheduling an inpatient admission, which of the following steps must CMAA take first? - correct answer ✔✔Obtain the physician's order

A patient calls and cancels an appointment with less than 24 hours notice. What should the CMAA do? - correct answer ✔✔Call patients scheduled for later in the day and ask if they would like to be seen earlier Before scheduling a patient for surgery, a CMAA must verify which of the following? - correct answer ✔✔Completion of pre-surgery laboratory values An older adult patient presents to the physician's office with his adult daughter to clarify when to take his new medication. Which of the following actions should be the CMAA take? - correct answer ✔✔Advise the daughter and patient that the physician will speak to them about the prescription When creating a retention schedule for patient medical records, a CMAA should consult which one of the following? - correct answer ✔✔State guidelines A CMAA created an invoice for the remaining percentage of an encounter fee after receiving a copayment. This portion is considered to be which of the following - correct answer ✔✔Coinsurance Which of the following should a CMAA take if a patient has an existing worker's compensation case? - correct answer ✔✔Obtain a carrier case number Which of the following is the most appropriate statement by the CMAA if the patient is unable to pay her balance? - correct answer ✔✔"We are required a payment arrangement before continuing with your care." Which of the following is the appropriate procedure for a CMAA when handling a rejected health insurance claim? - correct answer ✔✔Verify coding compliance and resubmit the claim for adjudication Which of the following is a step in annotation process? - correct answer ✔✔Highlighting text If a physician includes a finance charge on non-covered services, which document must the patient sign?

• correct answer ✔✔Truth in leading disclosure The proper indexing for Mrs.Mary Jane Johnson is - correct answer ✔✔Johnson, Mary, Jane(Mrs.)

Which of the following describes the birthday rule? - correct answer ✔✔The parent whose day of birth occurs earlier in the calendar year holds the primary policy for dependent children A provider needs to mail two medical books weighing 14 pounds to an office across town. What is the most economical delivery service to use? - correct answer ✔✔media mail After opening a report from a previous provider, which of the following is the medical administrative assistant's next step? - correct answer ✔✔give the report to the patients current provider for review Which of the following types of referrals are used in an emergency situation? - correct answer ✔✔stat Which of the following is the correct amount the CMAA should submit to the secondary insurance company if the encounter balance is 360 and the patient has two plans with an 80/20 split? - correct answer ✔✔$ Which of the following is the primary reason for a CMAA to document no-shows and cancellations? - correct answer ✔✔To maintain scheduling integrity In order to maintain an accurate record of medical practice payments, CMAAs should enter all payments made by the facility into - correct answer ✔✔a disbursement journal The portion of a service fee that the patient must pay is the - correct answer ✔✔copayment When a provider requests a patient to have a diagnostic test at a hospital, which of the following actions should the medical administrative assistant take? - correct answer ✔✔schedule the test with the hospital When a medical administrative assistant makes arrangements for a staff member to attend a conference, which of the following is the most important step? - correct answer ✔✔prepare and distribute the travel itenerary

Which of the following is the best way for a CMAA to dress collection of copayment? - correct answer ✔✔"how would you like to pay today?" A patient calls and has a question about her prescription dosage as it relates to her condition. Which of the following actions is the most appropriate for the CMAA? - correct answer ✔✔direct the call to the triage assistant/nurse When a CMAA transmits a medical record, which of he following documents is required? - correct answer ✔✔release of information authorization form Which of the following refers to the practice of underlining significant words and phrases when reviewing incoming mail? - correct answer ✔✔annotating A patient wants to update his medical record to include medication sensitivity information he failed to provide. Which of the following actions should the CMAA take? - correct answer ✔✔make a new entry to update the previous information According to Medicare regulations, providers are required to have which of the following numbers? - correct answer ✔✔unique physician identifier number(UPIN) Which of the following types of files should a CMAA maintain in order to remind patients of future appointments or procedures? - correct answer ✔✔ticker file A physician 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 the most appropriate way for the CMAA to manage the patients? - correct answer ✔✔try to reschedule the appointments before the patients leave What information is included on the provider's fee schedule? - correct answer ✔✔CPT codes When is express mail available? - correct answer ✔✔every day of the year, including holidays If a provider is subpoenaed for medical records, what should the CMAA do? - correct answer ✔✔ensure that all of the patients medical records are in order

Which of the following must be provided to a patient on a first visit, as required by HIPPA? - correct answer ✔✔notice of privacy practices When a patient requires a diagnostic procedure, which of the following is requested? - correct answer ✔✔written order from the provider Providers should use which of the following when a procedure is excluded from the Medicare fee schedule? - correct answer ✔✔advanced beneficiary notice (ABN) Which of the following documents must a CMAA provide for a patient to submit for reimbursement? - correct answer ✔✔encounter form A patient calls into a physicians office complaining of chest pains. Which of the following is the most appropriate action for the CMAA to take? - correct answer ✔✔Advice the patient to call emergency services If provider fails to report patient information regarding child abuse, provider may be charged with.... - correct answer ✔✔misdemeanor Before scheduling a patient for surgery, the CMAA must verify all of the following except? - correct answer ✔✔an authorization form Which of the following terms indicates the improper release of PHI? - correct answer ✔✔Breach of confidentiality Who is responsible for obtaining preauthorization for inpatient hospitalizations? - correct answer ✔✔the provider performing the procedure The total of all amounts due to the physician, from all patients, for services rendered or procedures performed is called the - correct answer ✔✔accounts receivable

Which of the following is the best way for a CMAA to greet an established patient when entering the physicians office for an appointment? - correct answer ✔✔"Good afternoon, Mrs. Johnson" When submitting claims to third party payers, the CMAA should retrieve information from which of the following? - correct answer ✔✔encounter form