HW#11_NCMA (NCCT) Exam Prep #3 Flashcards
When a medical assistant witnesses a patient’s signature, it means that he or she verified:
The patient’s identity and watched the patient sign the form
That the information on the form is correct
That the patient is aware of the risks involved with the procedure to be performed
That the physician discussed informed consent with the patient
The patient’s identity and watched the patient sign the form
Which of the following need not be done when charting?
Begin each new entry on a separate line.
Include the patient’s name at the beginning of each entry.
Begin each phrase with a capital letter.
Include the date and time with each entry.
Include the patient’s name at the beginning of each entry.
Which of the following can be used to enter a health history into an electronic medical record?
The patient completes a paper form, and the medical assistant scans it into the computer.
The medical assistant enters information while asking the patient questions.
The patient completes a health history on a computer.
All of the above are correct.
All of the above are correct.
Which of the following services may be provided through home health care? IV therapy Respiratory care Rehabilitation Maternal-child care All of the above
All of the above
A consent to treatment form is required for Tuberculin skin testing Sebaceous cyst removal Ear irrigation Blood pressure measurement
Tuberculin skin testing
Which of the following is not included in the patient registration record? Date of birth Allergies Employer Patient’s insurance company
Allergies
Flushed skin usually indicates The patient is experiencing pain An elevated temperature The patient has chills The patient has a rash
An elevated temperatur
What is the chief complaint?
The probable outcome of the patient’s condition
The symptom causing the patient the most trouble
A detailed description of the patient’s illness using medical terms
A tentative diagnosis of the patient’s condition
The symptom causing the patient the most trouble
Which of the following is not included in the social history? Dietary history Health habits Occupation Chronic illnesses
Chronic illnesses
What is an objective symptom?
A symptom that can be observed by another person
A symptom that precedes a disease
A symptom that is felt by the patient and cannot be observed by another
The symptom causing the patient the most trouble
A symptom that can be observed by another person
Which of the following is not an example of a diagnostic report? Urinalysis report Spirometry report Colonoscopy report Radiology report
Urinalysis report
What information is contained in the medical record? Health history Results of the physical examination Laboratory reports Progress notes All of the above
All of the above
Which of the following reports consists of a macroscopic and microscopic description of tissue removed during surgery? Laboratory report Pathology report Diagnostic imaging report Operative report
Pathology report
The social history is important, because \_\_\_\_\_ may affect the patient’s condition. Lifestyle Familial diseases Past injuries Medications being taken by the patient
Lifestyle
A report of the analysis of body specimens is known as a \_\_\_\_\_ report. Therapeutic Diagnostic Laboratory Progress
Laboratory
The purpose of the tab on a file folder is to
Hold documents in place in the folder.
Identify the contents of the folder.
Prevent the folder from being misfiled.
Keep the folder closed when not in use.
Identify the contents of the folder.
A copy of the patient’s emergency department report is sent to the Patient’s insurance company Patient Patient’s family physician Laboratory
Patient’s family physician
Which of the following is not included in the medical history? Accidents and injuries Immunizations Operations Medications Occupation
Occupation
Which of the following does not assist in the collection of data for a health history? A quiet, comfortable room Showing interest in the patient Showing concern for the patient Calling the patient “honey”
Calling the patient “honey”
What term is used to describe the process of making written entries about a patient in the medical record? Charting Registration Scribbling Documentation
Charting
Which of the following provides subjective data about a patient to assist the physician in arriving at a diagnosis? Laboratory tests Physical examination Health history Diagnostic tests
Health history
Which of the following reports consists of an account of the significant events of a patient’s hospitalization? Emergency department report Pathology report History and physical report Discharge summary report
Discharge summary report
Which of the following must be included in informed consent?
An explanation of risks involved with the procedure
Any alternative treatments or procedures available
The prognosis
The purpose of the recommended procedure
All of the above
An explanation of risks involved with the procedure
Data obtained from the patient are recorded in POR progress notes under: Subjective data Objective data Assessment Plan
Subjective data
Which of the following is an example of a subjective symptom? Rash Pain Dyspnea Bleeding
Pain
Why should a recording in the medical record never be erased or obliterated?
It makes it harder to read the chart.
The patient may not receive the proper care.
Credibility is reduced if the physician is involved in litigation.
It indicates the procedure was performed incorrectly.
Credibility is reduced if the physician is involved in litigation.
Which of the following is included on a medication record for medication administered at the office? Name of the medication Route of administration Dosage administered Number of refills All of the above
Name of the medication
A yellow color of the skin that is first observed in the whites of the eyes is called Cyanosis Hepatitis Pallor Jaundice
Jaundice
The health history is taken
After the physician performs the physical examination
After laboratory test results are reviewed
Before the physician performs the physical examination
After the physician makes a diagnosis of the patient’s condition
Before the physician performs the physical examination
Which of the following can be performed by an electronic medical record software program? Creation of a medical record Storage of a medical record Editing of a medical record Retrieval of a medical record All of the above
All of the above
What term is used to describe dizziness? Epistaxis Vertigo Urticaria Pruritus
Vertigo
Black ink should be used when recording in the patient’s chart to Provide a permanent record. Ensure legible handwriting. Avoid spelling errors. Reduce charting errors.
Provide a permanent record.
What term is used to describe a patient who has been admitted to the hospital for at least one overnight stay? Outpatient Ambulatory patient Guest Inpatient
Inpatient
Why is it important to document any instructions provided to the patient?
To ensure that the patient understands the instructions provided
To protect the physician legally if the patient is harmed by not following the instructions
To ensure that the patient follows the instructions
To provide a record for the insurance company
To protect the physician legally if the patient is harmed by not following the instructions
How is an established patient defined?
A patient who has been seen in consultation
A patient who has been seen in the past three years
A patient who has made a payment to the office
A patient who has a medical record in the office
A patient who has been seen in the past three years
In the ICD-10, which term indicates that a condition is not coded here, and the patient cannot have this condition in addition to the condition listed above it? Includes Code first Excludes 1 Excludes 2
Excludes 1
During a routine examination, the physician decides to have an electrocardiogram (ECG) performed on the patient. How should this be coded?
As a separate visit
As a separate procedure
In the code for the office visit
Only if the physician interprets the ECG
As a separate procedure
What is the format of most CPT codes? Two-digit code Five-digit code Four-digit code Three-digit code
Five-digit code
In which section of the CPT manual is there an attempt to link reimbursement to the completeness of the examination and the amount of skill required to manage the patient’s problems? Primary Care Initial Consultation Diagnosis Establishment Evaluation and Management
Evaluation and Management
What is the meaning of the “10” in the abbreviation ICD-10-CM? 10th edition Began to be used in 2010 Up to 10 characters in a code 10 times more codes than ICD-9-CM
10th edition
Which of the following types of history focuses mainly on the chief complaint? Detailed history Comprehensive history Problem-focused history Expanded problem-focused history
Problem-focused history
Who processes Medicare claims?
The federal government
State insurance companies
The Department of Health and Human Services
Insurance companies that contract with the federal government
The federal government
What type of number is usually used to identify the physician who provided each service on an insurance claim form? NPI number UPIN number Social Security number State medical license number
NPI number
For which of the following must the patient pay a regular monthly premium?
Medicare Part A
Medicare Part B
Neither A nor B—the cost is the same.
Neither A nor B—there is no cost for either plan.
Medicare Part B
What classification system forms the basis for payments for claims under Medicare Part A?
Title XIX (Title 19) fees
Diagnostic-related groups (DRGs)
Usual, customary, and reasonable charges (UCR)
A resource-based relative value system (RBRVS)
Usual, customary, and reasonable charges (UCR)
What type of insurance covers long-term nursing home costs for eligible patients? Medicaid Medicare CHIP plans None of the above
Medicare
If a patient with Medicare is admitted to a hospital for three days, what portion of the hospital costs must the patient pay?
Nothing
A deductible of $135.00
The cost of the first day of hospitalization
20% of the amount charged by the hospital
Nothing
With which of the following things having to do with each insurance plan accepted by the medical office need the medical assistant not be familiar?
The procedure to request a referral to a specialist
The specific procedures covered by each patient’s insurance
The laboratories where patients may have laboratory tests performed
The medical facilities where patients may have procedures or diagnostic tests done
The specific procedures covered by each patient’s insurance
A doctor who participates in Medicare performs a service for which he or she ordinarily charges $350. How much should the physician charge Medicare? $350 $280 $250 $0
$250
In what type of HMO model are the physicians employed by a managed care organization that provides services in its own offices? Staff model HMO Network model HMO Group practice model HMO Independent practice association
Group practice model HMO
Mary and Tom Weatherly are both covered by a family health insurance plan. Whose plan is the primary plan for their children?
Whoever earns the highest annual income
Whoever’s birthday comes first in the year
Whoever has worked the longest
Whoever’s birthday falls the closest to the child’s
Whoever’s birthday comes first in the year
What insurance plan provides for care for patients who are suffering from end-stage kidney disease? Medicare Medicaid TRICARE CHAMPUS
Medicare
If a patient has managed care insurance, who is the usual gatekeeper to authorize consultations with specialists?
The referral coordinator
The nurse practitioner
The primary care provider
An employee at the managed care insurance company
The primary care provider
In which of the following types of insurance does the subscriber belong to both an HMO and an insurance plan? Point of Service plan (POS) Preferred Provider Organization (PPO) Exclusive Provider Organization (EPO) Independent Practice Association (IPA)
Point of Service plan (POS)
Which federal insurance plan provides for services for the elderly and disabled? Medicare Medicaid TRICARE CHAMPVA
Medicare
Tom Bloom is a disabled serviceman whose disability is caused by service-related injuries. What insurance plan covers his wife and children? Medicare Medicaid TRICARE CHAMPVA
CHAMPVA
Historically, how did health insurance become linked with an individual’s employment?
One of the first insurance plans was arranged by a group of Dallas schoolteachers.
As an employee benefit, health insurance can increase functional income without affecting taxable income.
The insurance industry wanted to expand from accident insurance to more comprehensive health insurance.
The industrial revolution increased the likelihood of on-the-job injury, resulting in higher health costs for workers.
One of the first insurance plans was arranged by a group of Dallas schoolteachers.
What interval(s) is/are commonly used in a manual appointment book or computer schedule? 5 minutes 10 minutes 30 minutes 45 minutes All of the above
10 minutes
When is double-booking often used?
When the physician uses two examination rooms
When a patient with an acute injury or illness must be fitted into the schedule
When there is more than one physician scheduled to be in the office
When the physician is running behind schedule
When a patient with an acute injury or illness must be fitted into the schedule
Why is it important to document missed appointments in the patient’s medical record?
It shows that the patient had an appointment and didn’t keep it.
It is a potential defense against a claim that the physician was not available.
It provides grounds to terminate a relationship with the patient.
If provides written documentation that the patient does not follow medical advice.
All of the above are correct.
all of the above
Why must proper procedures be adhered to in scheduling patients for consultations with specialists?
Specialists will only accept patients who are referred by another physician.
Managed care insurance often requires written referral forms, or it will not pay.
The physician must demonstrate that the patient needs the service.
The specialist needs to have a complete history on the patient before seeing him.
Managed care insurance often requires written referral forms, or it will not pay.
What information must be obtained from a new patient?
The patient’s work schedule
The patient’s past medical history
Whether the patient smokes cigarettes
The type of medical insurance and coverage
The type of medical insurance and coverage
Who is responsible for giving the patient written instructions before surgery? The surgeon’s office The primary care physician’s office The hospital or day surgery center Written instructions are not necessary
The surgeon’s office
When scheduling surgery for a patient, what information should be provided in addition to the type of surgery, name of the surgery, and name of the surgeon and any assistant surgeon?
The insurance prior authorization number
The exact date that the surgeon wants to perform the surgery
The name and telephone number of the patient’s next of kin
Whether the patient has completed a living will or health care proxy
All of the above
all of the above
Which of the following variables will affect the appointment matrix the most?
The availability of facilities and equipment
The season of the year
The type of scheduling system used by the office
The location of examination rooms within the office
The availability of facilities and equipment
What is the goal of stream scheduling?
To schedule the same amount of time for each appointment
To be sure that there is always a patient waiting to see the physician
To give the physician time to respond to telephone messages between patients
To schedule patients so that there is a steady flow of patients moving through the office
To schedule patients so that there is a steady flow of patients moving through the office
When the patient is going to be admitted to the hospital from home, what should the medical assistant do?
Make sure there is preauthorization for the admission.
Arrange transportation for the patient.
Schedule the physician to be at the hospital when the patient is admitted.
Instruct the patient not to eat or drink after midnight the night before the admission.
All of the above are correct.
all of the above
What is important when changing the appointment date and time for a patient?
Delete or erase the original appointment completely.
Record that the appointment was changed in the patient’s medical record.
Always draw a line through the original appointment if a manual appointment book is used.
Give the patient an appointment within 2 days of the original appointment, double-booking if necessary.
Delete or erase the original appointment completely.
