STUDY QUESTIONS Flashcards
How long is a comprehensive visit scheduled for?
30- 40 minutes
What does a claim scrubber do?
Finds common billing errors before a claim is sent to an insurance carrier
What does a write-off indicate?
A balance that could not be collected due to bad debt or contractual discounts
What does ACO stand for?
Accountable Care Organization
What does Accountable Care Organization do?
Involves groups of health care providers working in collaboration to provide high quality pt care to Medicare recipients
Denied = ?
Claim where 3rd party payer refuses to grant payment due to policy coverage issues
Implied consent:
Involves the patient consenting by nonverbal action/conduct. Medical assistant rely on when patient can’t speak for themselves due to a medical emergency
A patient refuses to pay their copayment:
Inform the patient that the copayment is due at the time of the service
Pineal Gland:
Part of the endocrine system that produces melatonin and regulates sleep patterns
True or False: Preauthorization must be signed by CMAA before a procedure can be performed
True
A CMAA is writing written instructions to a patient about a procedure. How should the CMAA write the instructions?
6th to 8th grade level
What’s an aspect of professional behavior as a CMAA?
Keeping fingernails short and clean
A CMAA is preparing to create a patient file placeholder in he facilities EHR. Apart from the patient name what does the CMAA need?
Patients Number
What is the birthday rule?
The guardian whose birthday occurs earlier in the year holds the primary policy for dependent children
If a patient presents symptoms of chest pain, shortness of breath, heart burn, jaw pain, and syncope is experiencing what?
Heart Attack
Advance Directives=
Assistant should recognize that a medical power of attorney is an advance directive
Interpreter that uses silent mouth speech, gestures, and hand codes for each speech sound?
Oral Interpreter
What is a CMAA’s 1st priority when pulling out daily charts?
Review the appointment schedule. In order to know which charts to pull for the day.
CMS=
Centers for Medicare and Medicaid Services
CMS - 1500=
An electronic form for out patient billing, which is what a providers office is considered
Which of the following parts of Medicare pays for hospitalization?
Part A
pays for inpatient services, hospitalization, skilled nursing care facilities, hospice, and home health.
All pages of a patients medical record must include which of the following information?
Patients Name
A superbill aka a Patient encounter form:
Document used to record services rendered to the patient
What does RBRVS stand for:
Resource based relative value scale
What does RBRVS do?
Establishes the units used in determining Medicare fee schedules based on overhead expenses, amount of work involved, and cost of malpractice insurance
Scribe=
Entering the data into the EHR as the patients examination is being conducted
What’s a method to reduce number of no shows?
Call the patient 1-2 days before their scheduled appointment
Medical Administrative Assistant is checking in several patient’s who showed up at the same time and are frustrated due to extended wait times. What should the MAA do?
Greet each patient with a smile
What does Subpoena Duces Tecum?
Court order to mandate appearance and produce medical records for a trial
What does credit balance represent?
Represents a negative number on a patient’s account and indicates an overpayment has been made
What type of housing for patient’s provide help with ADL’S such as feeding, bathing, and ambulating?
Long term facility
A medical administrative assistant should verify a patient’s CPT code for which of the following?
Obtaining preauthorization
A medical administrative Assistant is creating an appointment for a patient, which action should be taken 1st?
Confirm patient’s or callers identity
What is Medicaid?
A health coverage program for individuals of limited/ low income
What does CVA mean?
Cerebrovascular Accident/ Stroke
Deductible =
Amount must be met before the insurance carrier will cover any medical expenses
Advance Directives=
Documents that describe what type of medical treatment a patient wants if the patient is no longer able to communicate
What action should a medical administrative assistant take when dealing with a patient that has partial hearing loss?
Reflective communication
When speaking with the patient involves repeating what the patient says back to them
True or False: HIPAA requires patients to be provided (NPP) Notice of Privacy Practices during 1st visit?
True
CAD =
Coronary Artery Disease
What is a part of a patient’s social history?
Substance Use
What type of referrals are used in emergency situations?
STAT Referrals
Account Aging =
Determining how long specific account balances have been outstanding
An ethical issue that involves the manipulation of genetic material in cells to produce specific outcomes in hereditary traits?
Genetic Engineering
ICD-10-CM
Current code-set used to describe the reason for the services provided. These codes are also known as “diagnosis codes”
