Exam Flashcards
what is a medical administrative assistant’s function in the audit process?
maintaining day sheets
Microsoft XO is an example of what type of program?
spreadsheet application
Patient calls with a question about her prescription dosage as it relates to a different condition. What action is appropriate for the medical administrative Assistant to take?
Take a message
- the physician is the most appropriate person to respond to this inquiry
what is the best way for a medical administrative Assistant to address collection of co-payment?
how would you like to pay today?
A medical administrative assistant is in a multi specialty practice and is scheduling an appointment for a patient who has arrhythmia. Which provider does the assistant schedule an appointment with?
Cardiologist
The cardiologist specializes in disorders of the heart. Arrhythmias are abnormal heart rhythm‘s that cause the heart to beat too quickly or too slowly
What abbreviation is for a type of routine blood test?
CBC
Complete blood count
What item should be sent by certified mail?
Dismissal letter
Certified mail for flight confirmation of receipt, which is needed one sending patient or staff dismissal letters
What is the abbreviation for an electroencephalogram?
EEG
Having a sign in sheet that says the patients name and provider is an example of what?
Incidental disclosure
What form is required to ensure a clean claim for an established patient?
Encounter form
And encounter form establishes medical necessity which is the goal of a clean claim
What referral is used in an emergency situation?
Stat
What term indicates the proper release of PHI?
Breach of confidentiality
A patient is diagnosed with Parkinson’s disease. The medical administrative assistant should schedule the patient with what specialist?
Neurologist
What information should the medical administrative assistant include In a Claim form?
NPI
National provider identification number
At which of the following times should a medical administrative Assistant pull a patient’s daily chart?
The evening before the patient’s appointment
Who is the party who is financially responsible for payment?
Guarantor
What action is necessary if a prescribed CPT code is not listed on the pre-printed encounter form?
Manually add the procedure code to the form
What information should a medical Administrative assistant verify on a referral?
Insurance coverage to ensure that the client is authorized. Verification prevents a Situation in which the client has to self-pay.
A provider asks a medical administrative assistant to schedule a patient’s next appointment for arthrocentesis of the right shoulder. This would be an appointment for what?
Surgical puncture to remove fluid from the right shoulder joint
A patient needs to have his gallbladder removed. The medical administrative assistant Should schedule the patient for what procedure?
cholecystectomy
Expensive equipment such as a copier or computer that is expected to last a long time is _______.
Consider to be a capital purchase
A provider’s 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 what format?
Claim appeal
A claim appeal is often used when a reimbursement was inadequate for a complicated procedure, the provider disagreed that patient’s condition was pre-existing, for the patient has unusual circumstances that affect medical treatment.
What is the relationship between advertising and public relations?
Advertising is the purchase of time and or space intended to influence members of the target audience while public relations is the presentation of an organization in a positive manner
An explanation of benefits (EOB) statement sent by an insurance company will include _______.
A checked or statement of Electronic payment for services provided
Medical treatments or services paid for by the insurance company
A new patient leaves the office because the practice is not accept his insurance. What action should the medical administrative Assistant take to prevent the scenario?
Verify the insurance eligibility prior to scheduling new patients
What party owns a patient’s physical medical record?
The provider or creator of the record is the one who owns the physical medical record
What information is included in an explanation of benefits (EOB) ?
claim adjustments
the EOB explains what was charged, what the insurance covered, and what the guarantor owes, including any adjustments based on the allowable amount charged for services
Microsoft XO is an example of what type of program?
spreadsheet application
Obtaining vital signs against a patient’s will is an example of what offense?
Battery
Battery is touching a person without permission they’re for obtaining the vital signs without consent is battery.
A third party payer is requesting documentation to support billed services. what is the appropriate document the medical administrative Assistant should forward to the third party payer?
Progress notes
Are part of authorization documentation and are forwarded to third-party payers
Prior to an invasive procedure, a patient asks a medical administrative Assistant about other options that are available. What action should the assistant take?
Advise the patient to ask the provider about alternatives it’s the provider’s responsibility to explain alternatives to the patient
ICD stands for ____________.
International Classification of Diseases
The most recent major revision of the ICD is ___________.
ICD-10-CM
If a patient is receiving services such as preventive care, this gets coded as __________.
Z codes
Some conditions that frequently occur together are described with a __________ code.
Combination
What part of Medicare pays for hospitalization?
Part A
Part A of Medicare pays for what?
Part A pays for inpatient services such as hospitalization, skilled nursing care facilities, hospice, and home health
A medical administrative Assistant should use which type of files to remind patients of future appointments or procedures?
Tickler
Tickler files are used as reminders and are based on patients needs
Microsoft XO is an example of which type of program?
spreadsheet application
What abbreviation should the medical administrative assistant use to document a patient history of a stroke.?
CVA
A cerebrovascular accident (CVA) is a stroke
A schedule is made for patients to have a physical exam on Tuesday afternoons and Thursday mornings. This is an example of what type of scheduling?
Cluster
Patients who need same kind of procedures are scheduled for the same time period
what action is appropriate for a medical administrative Assistant to take when processing incoming mail?
Shred unwanted mail to secure office and patient confidentiality
what root word means “swallow”?
Phag
