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CMAA Course > STUDY QUESTIONS > Flashcards

STUDY QUESTIONS Flashcards

1
Q

How long is a comprehensive visit scheduled for?

A

30- 40 minutes

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2
Q

What does a claim scrubber do?

A

Finds common billing errors before a claim is sent to an insurance carrier

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3
Q

What does a write-off indicate?

A

A balance that could not be collected due to bad debt or contractual discounts

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4
Q

What does ACO stand for?

A

Accountable Care Organization

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5
Q

What does Accountable Care Organization do?

A

Involves groups of health care providers working in collaboration to provide high quality pt care to Medicare recipients

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6
Q

Denied = ?

A

Claim where 3rd party payer refuses to grant payment due to policy coverage issues

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7
Q

Implied consent:

A

Involves the patient consenting by nonverbal action/conduct. Medical assistant rely on when patient can’t speak for themselves due to a medical emergency

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8
Q

A patient refuses to pay their copayment:

A

Inform the patient that the copayment is due at the time of the service

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9
Q

Pineal Gland:

A

Part of the endocrine system that produces melatonin and regulates sleep patterns

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10
Q

True or False: Preauthorization must be signed by CMAA before a procedure can be performed

A

True

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11
Q

A CMAA is writing written instructions to a patient about a procedure. How should the CMAA write the instructions?

A

6th to 8th grade level

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12
Q

What’s an aspect of professional behavior as a CMAA?

A

Keeping fingernails short and clean

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13
Q

A CMAA is preparing to create a patient file placeholder in he facilities EHR. Apart from the patient name what does the CMAA need?

A

Patients Number

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14
Q

What is the birthday rule?

A

The guardian whose birthday occurs earlier in the year holds the primary policy for dependent children

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15
Q

If a patient presents symptoms of chest pain, shortness of breath, heart burn, jaw pain, and syncope is experiencing what?

A

Heart Attack

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16
Q

Advance Directives=

A

Assistant should recognize that a medical power of attorney is an advance directive

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17
Q

Interpreter that uses silent mouth speech, gestures, and hand codes for each speech sound?

A

Oral Interpreter

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18
Q

What is a CMAA’s 1st priority when pulling out daily charts?

A

Review the appointment schedule. In order to know which charts to pull for the day.

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19
Q

CMS=

A

Centers for Medicare and Medicaid Services

20
Q

CMS - 1500=

A

An electronic form for out patient billing, which is what a providers office is considered

21
Q

Which of the following parts of Medicare pays for hospitalization?

A

Part A
pays for inpatient services, hospitalization, skilled nursing care facilities, hospice, and home health.

22
Q

All pages of a patients medical record must include which of the following information?

A

Patients Name

23
Q

A superbill aka a Patient encounter form:

A

Document used to record services rendered to the patient

24
Q

What does RBRVS stand for:

A

Resource based relative value scale

25
Q

What does RBRVS do?

A

Establishes the units used in determining Medicare fee schedules based on overhead expenses, amount of work involved, and cost of malpractice insurance

26
Q

Scribe=

A

Entering the data into the EHR as the patients examination is being conducted

27
Q

What’s a method to reduce number of no shows?

A

Call the patient 1-2 days before their scheduled appointment

28
Q

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?

A

Greet each patient with a smile

29
Q

What does Subpoena Duces Tecum?

A

Court order to mandate appearance and produce medical records for a trial

30
Q

What does credit balance represent?

A

Represents a negative number on a patient’s account and indicates an overpayment has been made

31
Q

What type of housing for patient’s provide help with ADL’S such as feeding, bathing, and ambulating?

A

Long term facility

32
Q

A medical administrative assistant should verify a patient’s CPT code for which of the following?

A

Obtaining preauthorization

33
Q

A medical administrative Assistant is creating an appointment for a patient, which action should be taken 1st?

A

Confirm patient’s or callers identity

34
Q

What is Medicaid?

A

A health coverage program for individuals of limited/ low income

35
Q

What does CVA mean?

A

Cerebrovascular Accident/ Stroke

36
Q

Deductible =

A

Amount must be met before the insurance carrier will cover any medical expenses

37
Q

Advance Directives=

A

Documents that describe what type of medical treatment a patient wants if the patient is no longer able to communicate

38
Q

What action should a medical administrative assistant take when dealing with a patient that has partial hearing loss?

A

Reflective communication

When speaking with the patient involves repeating what the patient says back to them

39
Q

True or False: HIPAA requires patients to be provided (NPP) Notice of Privacy Practices during 1st visit?

A

True

40
Q

CAD =

A

Coronary Artery Disease

41
Q

What is a part of a patient’s social history?

A

Substance Use

42
Q

What type of referrals are used in emergency situations?

A

STAT Referrals

43
Q

Account Aging =

A

Determining how long specific account balances have been outstanding

44
Q

An ethical issue that involves the manipulation of genetic material in cells to produce specific outcomes in hereditary traits?

A

Genetic Engineering

45
Q

ICD-10-CM

A

Current code-set used to describe the reason for the services provided. These codes are also known as “diagnosis codes”

CMAA Course (4 decks)

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