CMAA EXAM STUDY GUIDE QUESTIONS
AND ANSWERS WITH COMPLETE
SOLUTIONS
when should an MA assistant schedule a return appointment for a pt ✔✔when pt checks out
proper protocol when following up on nonpayment and of claim
...
CMAA EXAM STUDY GUIDE QUESTIONS
AND ANSWERS WITH COMPLETE
SOLUTIONS
when should an MA assistant schedule a return appointment for a pt ✔✔when pt checks out
proper protocol when following up on nonpayment and of claims from third party payers
✔✔notify the pt of the claim; contact third party payer
when reviewing a pts history, a cmaa should identify the acronyms as setting for medical care
✔✔SNF
which of the following is a characteristic of a block style letter ✔✔salutations is flushed left
which new patient form becomes part of the pt medical record ✔✔health history
in which of the following places should the office computer back up information stored ✔✔in an
offsite location
information that needs to be removed from the sign in sheet ✔✔the full name of the pt
a provider will be out of the office. the cmaa action would take first ✔✔update the schedule to
reflect provider is away
before releasing medical records ✔✔ask pt to sign a release form requesting record
which of the following owns a pt medical record ✔✔creator
reason why the cmaa would print and review appt schedule ✔✔to ensure charts are prepared
rhinoplasty is the surgical repair of ✔✔the nose
which form does a pt sign to ensure that the insurance co pays the claim directly to the provider
✔✔assignment of benefits
which of the following is necessary for a provider to prescribe controlled substances ✔✔DEA
number
if an insurance co does not pay claim, the cmaa should complete which of the following first
✔✔call the insurance co
which pt should cmaa assistant dress first ✔✔a pt SOB
before a pt has an outpatient surgery the cmaa should ✔✔pre certify the procedure with the pt
insurance co
when making travel plans for a group of providers. cmaa first step should be ✔✔develop
itinerary
before submitting a claim for a pt with medicaid insurance ✔✔contact carrier for eligibility
which term is used to describe an oxygen deficiency that causes the skin to turn blue in color
✔✔cyanosis
correspondence between a pt and a provider should be send using which mail ✔✔certified mail
transferred from acute care hospital to a SNF allows cmaa to ✔✔concurrent care
cmaa released records without authorization. which term describes this scenario ✔✔respondent
superior
a cmaa is composing a collection letter . which actions should assistant take ✔✔individualize
collection letter
date labeled used as a follow up method should be checked daily ✔✔tickler file
during the checkout the cmaa is required to ✔✔check encounter form to see if a follow up was
required
when financial policies change. which of the following is the practice's responsibility ✔✔mailing
to pt
first step to travel arrangements for providers to attend a conference ✔✔itinerary
times the physician is not available to see pt ✔✔matrix
who has the right to decide how and whom the information is communicated ✔✔provider
pt who is scheduled for a surgery and has questions about complications are directed to
✔✔provider
the NPI number identifies ✔✔provider to payer
duties of the cmaa at the end of the day ✔✔start opening procedure for next day
before making an appt the cmaa needs ✔✔referral form
recently laid off pt calls the office to discuss payment option. appropriate option ✔✔hardship
payment plan
wave scheduling should be used by ✔✔three pt to be at same time
a circumstance in which medical records would be removed from a provider's office ✔✔when a
subpoena has been issued
blood borne pathogens standards all under which agency ✔✔OSHA
ABN provides which information ✔✔identified service medicare will not pay
an urgent referral to a specialist should be expected within what time frame ✔✔24 hours
which of the following requires as MSDS ✔✔chemical solutions
which of the following parts of medicare covers physicians devices ✔✔part B
a mother and father both have coverage for their child. according to birthday rule who will pay
✔✔parent whose birthday comes first in calendar year
when releasing confidential info, who has right to decide how information is communicated
✔✔the pt
a cmaa should do which of the following when greeting a pt ✔✔address the pt by full name in
chart
ensure security compliance nan electronic health record system by ✔✔keeping system logged
out when not in use
should be done to endure appropriate transmission of PHI to another provider ✔✔a fax cover
sheet confidentiality disclosure statement
a cmaa can find which of the following information on a medical history form ✔✔social history
which forms becomes part of the medical history ✔✔health history
daily appointments scheduled is printed out in advanced because ✔✔to ensure charts are
prepared
birthday rule ✔✔the pt whose birthday occurs earlier in the calendar year holds the primary
policy for dependent children
a $15.00 unapplied balance remains after applying payments from a remittance advice (RA).
which is the cmaa first step in reconciling the balance ✔✔review the detail of the line item
applications
right to know law ✔✔allows employees to access information regarding work place safety
what must a cmaa verify before scheduling a pt for surgery ✔✔completion of pre-surgery
laboratory values
when should should an advance beneficiary notice be completed ✔✔if a medicare provider
believes a procedure may not be covered by medicare
example of an incidental disclosure ✔✔having a sign in sheet detailing the reason for each pt
visit at check in
where is HIPAA compliance required ✔✔in all of medical organizations and must be part of the
compliance plan
when are stat referrals used ✔✔in emergent situations
when are urgent referrals used ✔✔ncnlife threatening situation and are approved within 24 hours
what is capitation payment ✔✔form on managed care designed to have the physician provide
health care to his members for a fixed payment at a contradicted interval
RBRVS ✔✔resource based relative value scale
schema used to determine how much money medical providers should be paid. it is partially used
by medicare in the US and by nearly all health maintenance organizations (HMO)
when is release of info authorization needed ✔✔when a cmaa transmits a medical record
HITECH ✔✔collects delinquent accounts
day sheet ✔✔ensures accounts accounting
OSHA ✔✔oversees work place safety
encounter form ✔✔form needed for reimbursement
is an invoice considered a final record ✔✔no and it should not be stored
where does the retention of pt medical records vary ✔✔by state.
the cmaa should consult state guidelines
progress notes ✔✔part of authorization documentation and are forwarded to third party payers
EOB (explanation of benefits ) ✔✔document from an insurance carries that shows how the
amount of the benefit was determined
how does practice management software produce pt ✔✔by procedure
how is pt health record produced ✔✔using HER software
disbursement journal ✔✔tracks payment and details, including dates, check numbers, and
payers. this is a specific function of manual and automotive systems
when are tickler files used ✔✔reminders and are based on the needs of pt
when is a doctors order needed ✔✔for all diagnostic procedures
what is the cmaa function in the audit process ✔✔maintain day sheets
when is cmaa required to maintain a disclosure log ✔✔when providing PHI to authorized
recipients
what is cmaa first step to obtain when scheduling an in-patient admission ✔✔physicians order.
malfeasance ✔✔wrongdoing, especially by public officials
nonfeasance ✔✔failure to perform an act that is required by law
negligence ✔✔unintentional tort alleged when a person may have performed or failed to perform
an act that a reasonable person would not or would not have done in similar circumstances
misdemeanor ✔✔if a provider fails to reports pt informations regarding child abuse, the provider
may be charged with this
block style ✔✔most efficient
what is a practice analysis ✔✔financial report. gives financial snapchat of how the business
performed and is generated by the practice management systems
MSN ✔✔medicare version of an explanation of benefits
ABN ✔✔used when a procedure is excluded from the medicare fee schedule
annotating process ✔✔highlighting
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