NCCT from NCCT website (flashcards 1)

A provider who has a contractual agreement to accept an insurance company’s pre-negotiated rate for health care services is considered to be:

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A. for-profit

B. not-for-profit

C. in-network

D. non-network

C. in-network

Which of the following statements describes managed care?

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A. Coverage is normally provided for elective procedures

B. Cost-containment is a primary goal

C. Pre-authorization is required for emergency care

D. Pre-certification is not necessary for reimbursement

B. Cost-containment is a primary goal

An added feature to a patient’s insurance policy expanding or placing limits on standard coverage is a…

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A. referral

B. rider

C. deductible

D. precertification

B. rider

Which of the following agencies are physicians required to maintain registration with in order to prescribe, dispense, or administer controlled substances?

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A. Food and Drug Administration (FDA)

B. Drug Enforcement Administration (DEA)

C. Department of Health and Human Services (DHHS)

D. American Medical Association (AMA)

B. Drug Enforcement Administration (DEA)

The Needlestick Safety and Prevention Act exists to protect healthcare workers from accidental exposure to…

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A. carcinogens.

B. blood borne pathogens.

C. hazardous chemicals.

D. biologic toxins.

B. blood borne pathogens.

Which of the following regulations set the minimum standards for medical laboratory practice and quality?

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A. HIPAA

B. CLIA

C. DEA

D. OSHA

B. CLIA

 Which of the following types of licensure must a physician have and maintain to legally dispense, prescribe, or administer controlled substances?

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A. pharmaceutical

B. narcotics

C. business

D. occupational

B. narcotics

What is the approximate amount of time for the QRS complex to record on an ECG?

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A. 0.06-0.10 seconds

B. 0.04-0.08 seconds

C. 0.04-0.12 seconds

D. 0.04-0.06 seconds

A. 0.06-0.10 seconds

A Holter monitor is used to monitor a patient’s heart during normal activity for a period of _______ hours or up to 30 days

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a. 1-5 hours

b. 10-15 hours

c. 21-24 hours

d. 24-48 hours

d. 24-48 hours

When performing an ECG on a patient who is obese and wandering baseline is present, which of the actions should the professional performing the ECG take? (Select the two (2) correct answers.)

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A. Ensure that the examination table is not touching the wall.

B. Ensure the patient is not touching the frame or side rail.

C. Ensure that new electrodes and clean clips are used.

D. Ensure good skin preparation.

E. Ensure the patient's arms are folded over the chest.

C. Ensure that new electrodes and clean clips are used

D. Ensure good skin preparation

What is the abbreviation for electroencephalogram?

A. EEG

B. EKG

C. ECG

D. ENT

A. EEG

Which of the following diagnostic procedures uses ultrasound to display an image of the structure of the heart?

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A. electroencephalogram

B. angiogram

C. echocardiogram

D. electrocardiogram

C. echocardiogram

Which of the following patient tests is considered a “high-complexity” lab test?

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A. glucose

B. spun microhematocrit

C. pap smear manual slide reading

D. dipstick urinalysis

C. pap smear manual slide reading

After validating an ECG order, collecting all supplies, and ensuring the machine is in proper working order, the professional performing the ECG's next action should be to

 

A. explain the procedure.

B. provide for privacy.

C. apply the electrodes.

D. identify the patient.

D. identify the patient.

Which of the following actions by the professional performing an ECG are likely to be performed prior to exercise stress testing?  *(Select the four (4) correct answers.)*

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A. Inform the patient of expectations during the testing.

B. Explain the symptoms to report if experienced during testing.

C. Obtain the patient’s medical history and current medications.

D. Observe and monitor the patient, documenting symptoms in the chart.

E. Have a crash cart with defibrillator close at hand.

A. Inform the patient of expectations during the testing.

B. Explain the symptoms to report if experienced during testing.

C. Obtain the patient’s medical history and current medications.

E. Have a crash cart with defibrillator close at hand.

 A patient with Parkinson’s comes in for an ECG with noticeably severe tremors. Which of the following should the medical assistant do to ensure a proper reading?

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A. Ask the patient to remain calm.

B. Have the patient slide their hands under their buttocks.

C. Have the patient grasp the side of the table.

D. Move the patient into the semi-fowlers position to ease breathing.

B. Have the patient slide their hands under their buttocks.

 Which of the following is a CLIA waived laboratory test?

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A. urine culture and sensitivity

B. complete blood count

C. pap smear

D. fecal occult blood testing

D. fecal occult blood testing

Where should the V4 electrode be placed on the body?

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A. left midclavicular line, 5th intercostal space

B. right midclavicular line, 5th intercostal space

C. left midclavicular line, 4th intercostal space

D. right midclavicular line, 4th intercoastal space

A. left midclavicular line, 5th intercostal space

Which of the following volumes is the approximate total bladder capacity for a healthy adult patient?

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A. 500 mL

B. 2000 mL

C. 100 mL

D. 1500 mL

A. 500 mL

Which one of the following tests is CLIA waived

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A. GTT

B. PT/PTT

C. HgbA1C

D. HCT

D. HCT

Accurate and reliable laboratory results depend upon adherence to quality standards.  Which of the following applies to every United States Clinical Laboratory that tests human specimens?

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A. Clinical and Laboratory Standards Institute (CLSI)

B. Clinical Laboratory Improvement Amendments (CLIA)

C. College of American Pathologists (CAP)

D. Joint Commission on the Accreditation of Health Care Organizations (JCAHO)

B. Clinical Laboratory Improvement Amendments (CLIA)

 Which cellular component of blood plays a role in hemostasis?

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A. Neutrophil

B. Eosinophil

C. Lymphocyte

D. Thrombocyte

D. Thrombocyte

Which of the following tasks is a medical assistant responsible for when given a requisition for guaiac testing?

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A. Collect venous specimens for testing as required.

B. Perform skin tests as required.

C. Collect and perform point-of care testing.

D. Perform QC checks on POCT instruments.

C. Collect and perform point-of care testing.

 Diabetic patients require an index of their average glucose level.  Which of the following laboratory tests is required?

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A. glucose tolerance test

B. glycosylated hemoglobin

C. hemoglobin & hematocrit

D. fasting glucose

B. glycosylated hemoglobin

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*Rationale: The hemoglobin A1c test (HbA1c) is a laboratory test for glycolysated hemoglobin. When diabetes is not controlled, the extra blood sugar combines with hemoglobin and provides an average amount of the “glycolysated hemoglobin” over time instead of relying upon measuring glucose levels on any single day.*

When posting an insurance payment via an EOB, the amount that is considered contractual is the

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A. insurance allowed amount.

B. NON-PAR payment allowable.

C. co-insurance.

D. patient responsibility.

A. insurance allowed amount.

Which of the following laboratory tests would be ordered for a patient with diabetes insipidus?

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A. ETOH

B. GH

C. RH

D. ADH

D. ADH

Which task should a medical assistant complete prior to using a POCT instrument?

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A. Read the operation manual.

B. Perform QA and QC on the instrument.

C. Ensure that QA and QC were performed within the last month.

D. Perform QC and test the instrument on a blood sample.

B. Perform QA and QC on the instrument.

The agency that regulates physician office labs is…

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A. OSHA

B. CDC

C. HIPAA

D. CLIA

D. CLIA

A patient’s urine specimen is noted to be dark yellow with sediment, and has a strong, ammonia-like odor. Which of the following is most likely to be present when processing the specimen?

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A. bacteria

B. ketones

C. erythrocytes

D. pH 7.0

A. bacteria

 ECG machines with LCD displays allow which of the following information to be added before the test? (Select the two (2) correct answers).

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A. patient name

B. room artifacts

C. lead placement

D. blood pressure

E. type of electrodes used

A. patient name

D. blood pressure

How should the medical assistant store an instrument with a ratchet when it is not in use?

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A. unlocked (open) position

B. locked (closed) position

C. bundled with similar instruments

D. in 10% formalin solution

A. unlocked (open) position

Which of the following government agencies requires the medical office to develop an exposure control plan?

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A. FDA

B. EPA

C. CDC

D. OSHA

D. OSHA

Which of the following patient specimens would be removed from the thoracic cavity?

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A. synovial fluid

B. pleural fluid

C. ascites fluid

D. peritoneal fluid

B. pleural fluid

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*Rationale:  Pleural space is the space between the lining of the outside of the lungs (pleura) and the wall of the chest and sometimes there is an accumulation of fluid known as pleural fluid. The cavity that contains pleural fluid is the chest (thoracic) cavity*

A medical assistant has obtained a specimen from a wound using a sterile swab.  How should the specimen be prepared before sending it for culture?

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A. Place the swab in a biohazard bag and label it with patient information.

B. Place the swab in the original protective sheath of the culturette and break the ampule inside.

C. Use the collecting swab to place the specimen inside of a sterile specimen cup and label it with patient information.

D. Use the collecting swab and place the specimen on a Hemoccult slide.

B. Place the swab in the original protective sheath of the culturette and break the ampule inside.

When educating a patient on how to collect a stool specimen at home, which of the following statements is correct?

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A. The stool collection should only be brought in if it is the first stool of the day-collected upon waking in the morning.

B. The stool specimen should be brought in to the office in a frozen state.

C. The stool specimen should not be contaminated with urine as this can destroy microorganisms in the stool.

D. The rectal area should be cleansed with an antiseptic wipe before the specimen is collected.

C. The stool specimen should not be contaminated with urine as this can destroy microorganisms in the stool.

When collecting a throat culture, the medical assistant should instruct the patient to…

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A. gargle and rinse mouth with warm water prior to the collection.

B. open the mouth wide, and say "ah."

C. cough strongly prior to collection to clear mucus from the throat.

D. bite down firmly on the collection swab

B. open the mouth wide, and say "ah."

A medical office assistant’s knowledge of a statute of limitations for collecting an overdue account is an example of managing the collections process while complying with…

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A. AMA guidelines.

B. practice management guidelines.

C. state and federal guidelines.

D. HIPAA guidelines.

C. state and federal guidelines.

Which of the following urinalysis collection methods is used to obtain the most concentrated specimen?

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A. clean-catch

B. midstream

C. 24-hour collection

D. first morning void

D. first morning void

The main purpose for verifying a patient’s insurance coverage at every visit is to

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A. prevent claim rejection due to ineligibility or non-active status.

B. maintain confidentiality of protected health information.

C. expedite the age analysis process of delinquent accounts.

D. establish rapport and respectful approach to care.

A. prevent claim rejection due to ineligibility or non-active status.

Which of the following must be filled out by the patient in order to forward payment to the physician's office?

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A. coordination of benefits

B. assignment of benefits

C. remittance advice

D. explanation of benefits 

B. assignment of benefits

Which of the following documents does the provider or facility need to submit in order to receive reimbursement from an insurance company?

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A. ABN

B. CMS-1500

C. medical consent form

D. explanation of benefits 

B. CMS-1500

Which of the following forms is used by the medical office to ensure that insurance payments are made directly to the physician?

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A. CMS 1500

B. patient consent

C. assignment of benefits

D. UB-04

C. assignment of benefits

A list of all account balances and the amounts owed to the medical practice at the end of the day is called an

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A. accounts receivable report.

B. aging summary analysis.

C. accounts payable report.

D. insurance aging report.

A. accounts receivable report.

The process of finding out if a service or procedure is covered under a patient’s insurance policy is called

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A. predetermination.

B. preauthorization.

C. precertification.

D. preexisting.

C. precertification.

The medical office assistant receives payments in full from both a primary private insurance company and a 65-year-old patient. At the end of the day she realizes there was an overpayment on the patient's account. Which of the following should the overpayment be refunded to?

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A. the patient

B. the insurance company

C. Medicare

D. the physician 

A. the patient

ASCA requires that hospital claims submitted to Medicare Part A and B must be submitted electronically, but will accept non-electronic claims on behalf of providers that

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A. have been in business for less than 90 days.

B. employ less than 25 full-time employees.

C. also participate in the Medicaid program.

D. offer both inpatient and outpatient services. 

B. employ less than 25 full-time employees.

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When following up on a denied claim, a medical office assistant should have which of the following information available when speaking with the insurance company?  (Select the three (3) correct answers).

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A. patient’s claim number

B. physician’s NPI

C. date the claim was denied

D. patient’s mailing address

E. patient’s insurance ID number

A. patient’s claim number

B. physician’s NPI

E. patient’s insurance ID number

 The patient is prescribed metoprolol (Lopressor).  Which of the following side effects is likely to occur if too much of the medication is taken?

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A. gastroesophageal reflux

B. hypotension

C. polydipsia

D. anuria

B. hypotension

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Rationale: Commonly prescribed for hypertension. An overdose can lead to Hypotension and even cardiac failure.

A patient comes into a provider’s office with a diagnosis CHF due to a medical emergency. The provider admits the patient to a local hospital for care. Which Medicare plan will cover the hospital admission?

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A. Medicare Part A

B. Medicare Part B

C. Medicare Part C

D. Medicare Part D

A. Medicare Part A

The legal responsibility for an act or occurrence refers to which of the following?

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A. assent

B. due process

C. liability

D. arbitration

C. liability

The entitlement to fair treatment under the law is known as which of the following?

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A. due process

B. ethics

C. morals

D. arbitration

A. due process

 Which of the following is an event that must be reported to a government agency?

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A. sports injury

B. surgical injury

C. hospital-related injury

D. violence-related injury

D. violence-related injury

Which of the following are typically included in an advance directive?  (Select the three (3) correct answers.)

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A. do-not-resuscitate (DNR) orders

B. living-wills

C. health care proxies

D. consent forms

E. life insurance agreement

A. do-not-resuscitate (DNR) orders

B. living-wills

C. health care proxies

A tort involving an open threat or attempt to do bodily harm to another is known as which of the following?

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A. battery

B. assault

C. slander

D. libel

B. assault

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*Difference between assault & battery: Assault is a tort (wrongful act) that involves a threat causing someone to intentionally fear bodily harm. Battery is a tort that involves actual physical contact without consent causing bodily harm.*

A standard of behavior impacting the moral concept of right and wrong is known as which of the following?

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A. advocacy

B. idealism

C. ethics

D.  justice

C. ethics

Request for payment under the terms of a health insurance policy is referred to as which of the following?

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A. deductible

B. claim

C. preauthorization

D.  copayment

B. claim

The action of making damaging and/or false statements about the name or reputation of another person to a third party is known as which of the following?

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A. dereliction of duty

B. termination of the physician-patient relationship

C. defamation of character

D. abandonment

C. defamation of character

The study of controversial moral issues, questions, and/or problems arising due to medical advances is known as which of the following?

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A. bioethics

B. sociology

C. philosophy

D. jurisprudence

A. bioethics

Premiums are payments made systematically to insurance companies in exchange for which of the following?

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A. kickbacks

B. benefits

C. referrals

D. adjustments

B. benefits

 Under recommendation of the physician, a patient has opted to undergo an invasive procedure.  When serving as a witness to the patient’s consent to treatment, the medical office assistant is attesting to the fact that the

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A. patient has the ability to make the decision.

B. patient was made aware of alternative methods of treatment.

C. patient’s signature was his/her own.

D. patient comprehended all relevant information.

C. patient’s signature was his/her own.

Which is the correct procedure for keeping a Worker’s Compensation patient’s financial and health records when the same physician is also seeing the patient as a private patient?

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A. The same financial record may be used, but a separate health record must be maintained.

B. The same health record may be used, but a separate financial record must be maintained.

C. The same financial and health records may be used.

D. Separate financial and health records must be used.

D. Separate financial and health records must be used.

A medical office assistant is reviewing a chart with the following documentation: *indigent patient presented with a complaint of itchy, red bumps on her chest and neck. Diagnosis: Urticaria, Procedure: Expanded Office Visit*. The reference manual that would contain the term *Urticaria* and the associated code is the…

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A. Current Procedural Terminology (CPT)

B. Health Care Financing Administration Common Procedure Coding System (HCPCS)

C. Centers for Medicare and Medicaid Services (CMS)

D. International Classification of Diseases (ICD) 

D. International Classification of Diseases (ICD) 

The provider prescribed and ordered a wheelchair for a patient with a below-the-knee amputation. Which of the following manuals should the medical office assistant use to code these services?

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A. ICD-CM

B. CPT

C. HCPCS

D. CPT-assistant

C. HCPCS

A business letter should be folded in which of the following positions when using a standard No. 10 envelope?

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A. half, horizontally

B. half, vertically

C. thirds, face-up

D. quarters, face-down

C. thirds, face-up

When composing a business letter, how should the medical assistant properly indicate copies of the letter are being sent to others?

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A. List the names below the sender’s name.

B. Enter “Encl” followed by the names.

C. Enter “Re” followed by the names.

D. Enter “cc” followed by the names.

D. Enter “cc” followed by the names.

What five pieces of information must be available on every sample in the laboratory?

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A. Full name, unique identifier, date of collection, time of collection, tests collected

B. Full name, insurance information, patient location, date of collection, time of collection

C. Full name, insurance information, patient location, tests collected, time of collection

D. Full name, unique identifier, date of collection, time of collection, collector’s identity

D. Full name, unique identifier, date of collection, time of collection, collector’s identity

Recording the patient’s critical glucose value in the medical record is an example of which of the following?

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A. good laboratory practices (GLPs)

B. competency evaluations

C. threshold values

D. quality control (QC)

A. good laboratory practices (GLPs)

Scheduling an early morning appointment facilitates collection for which of the following types of stool specimens?

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A. viral

B. fecal occult blood

C. pinworms

D. bacterial

C. pinworms

A patient’s wife calls the office and states that her husband is experiencing left arm pain and chest pressure. Which of the following could the patient be suffering from?

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A. IBS

B. CAD

C. CVA

D. MI

D. MI

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*Rationale: Left arm pain and chest pressure can be some of the warning signs of Myocardial Infarction (MI). Irritable Bowel Syndrome (IBS), Coronary Artery Disease (CAD) and a Cerebrovascular Accident (CVA) have symptoms that present differently than MI. Getting the patient to immediate care is essential in a case such as this for best treatment.*

A patient presents to the medical office stating the following:  “I was previously seen for a physical exam and the EOB I received contained an error regarding my medical coverage. The doctor ordered blood screening for hypercholesterolemia, and I’m out of my blood pressure meds.”  Which of the following questions should the medical office assistant ask the patient first?

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A. Were you referred by a physician?

B. Which insurance carrier do you have? 

C. Will you be paying for the bill?

D. Did the doctor say you needed to be seen today?

D. Did the doctor say you needed to be seen today?

 A patient presents to the provider’s office with a complaint of a migraine.  The patient has Medicare and Medicaid.  The patient also has a Worker’s Compensation claim with a diagnosis of head injury.  After the provider assesses the patient, the final diagnosis is a concussion.  Where should this claim be submitted first?

\
A. Medicare

B. the patient’s employer

C. Worker’s Compensation

D. Medicaid

C. Worker’s Compensation

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*Rationale: Whenever a patient claims a workplace injury, the health care provider should call the employer to see if a worker's compensation claim has been filed. If so, billing will first go through that claim. The other options listed in this scenario would be follow-up based on whether or not a worker's compensation claim has been filed.*

The medical assistant is preparing to escort a patient with a prosthetic limb, due to complications from diabetes, to a room. Which of the following actions by the medical assistant is appropriate?

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A. ask the patient if they need extra assistance before helping

B. move the patient ahead to be seen by the physician

C. obtain a blood glucose spot check before moving the patient

D. provide large print educational materials for possible retinopathy

A. ask the patient if they need extra assistance before helping

 Which of the following is the predetermined amount of total eligible charges a patient must pay before insurance plan benefits begin?

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A. premium

B. coverage

C. deductible

D. copay

C. deductible

The set dollar amount collected at the time of each visit for a patient’s portion of health care costs is referred to as which of the following?

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A. copayment

B. deductible

C. coinsurance

D. out-of-pocket maximum

A. copayment

Which of the following forms should always be included when sending a fax originating from the medical office?

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A. release of information

B. HIPAA waiver

C. cover sheet

D. informed consent

C. cover sheet

A coworker admitting to taking office drug samples home for personal use without permission violates standards of

\
A. professional ethics.

B. bioethics.

C. patient confidentiality.

D. beneficence.

A. professional ethics.

The statement, “A physician shall respect the law” is a part of which of the following?

\
A. AAMA Code of Ethics

B. The Patient’s Bill of Rights

C. Patient Self-Determination Act

D. AMA Principles of Medical Ethics

D. AMA Principles of Medical Ethics

An offense committed in violation of a public law is known as which of the following?

\
A. tort

B. writ of habeas corpus

C. statute

D. defamation

A. tort

Which of the following calls should the medical assistant refer directly to the provider?

\
A. an insurance company representative

B. a referring physician

C. positive radiological reports

D. cholesterol laboratory results

C. positive radiological reports

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*Rationale: Radiological reports that are positive, abnormal, or stat, the provider would want to discuss* ***immediately*** *by phone. Physicians generally will speak to a referring physician on the phone directly but taking a call from a colleague would come in secondary to urgent labeled reports. All other calls can be returned in a timely manner once the most urgent are addressed first.*

The best way to ensure that a patient understands and complies with the medical office’s financial policy is to explain the

\
A. rationale behind the office’s financial policies and procedures.

B. office’s financial policies and procedures in advance of services.

C. negative ramifications of failure to pay on time.

D. legal implications of failure to pay on time.

B. office’s financial policies and procedures in advance of services.

If a patient is consistently late, the most effective way for the medical assistant to handle the problem is to

\
A. Refuse to re-schedule the patient for 90 days

B. Notify the patient’s insurance carrier

C. Ask the provider to discuss the office policy with the patient

D. Terminate the patient from the practice

C. Ask the provider to discuss the office policy with the patient

A physician asks the medical assistant to enter data into a patient’s electronic medical record using the SOAP format.  What does the “P” represent?

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A. Physician name

B. Problem

C. Progress

D. Plan

D. Plan

Which of these would be recorded under the "S" in a patient's EHR if using the SOAP format? (Select the 4 correct responses.)

\
A. Sodium level

B. Symptoms

C. Social history

D. Feeling of fatigue

E. History of present complaint

\
B. Symptoms

C. Social history

D. Feeling of fatigue

E. History of present complaint

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*Rationale:*

*The SOAP format is a commonly used system for documentation in medical charts since it offers a complete, consistent, and organized format for information management and retrieval. S=Subjective, O=Objective, A= Assessment, and P=Plan.* @@***Subjective information includes statements about symptoms, social history, how the patient feels, etc. Objective information includes actual data generated from examination, x-rays, laboratory reports, etc***@@***.*** *The Assessment content is based on the physician’s analysis of the subjective and objective information, which would include a diagnosis. The Plan portion of the record will contain the treatment plan and course of follow-up action (next appointment, medications prescribed, additional testing, etc.)*

Where is the diagnosis entered under the SOAP format?

\
A. S

B. O

C. A

D. P

C. A

The document signed by a patient agreeing to have a venipuncture procedure after the phlebotomist explains the method, risks, and consequences is called

\
A. expressed consent.

B. implied consent.

C. informed consent.

D. verbal consent.

C. informed consent.

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*Rationale: Informed consent means the patient agrees to and signs a document in regards to a procedure after the provider explains the risks and consequences.*

If a physician places a patient on high blood pressure medication after a routine physical, where would it be recorded using the SOAP format?

\
A. S

B. O

C. A

D. P

D. P

A medical assistant is taking a patient’s history and entering it directly into the EHR. The patient’s main reason for seeing the doctor is a severe migraine headache. If this office uses the CHEDDAR format of documentation, under which letter would this information be entered?

\
A. D

B. C

C. R

D. A

B. C

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*Rationale": The CHEDDAR format is a commonly used system for documentation in medical charts since it offers a complete, consistent, and organized format for information management and retrieval. C=Chief complaint, H=History of presenting illness, E=Examination, D=Details, D=Drugs and dosages, A=Assessment, and R=Return visit information/referral.*

While reconciling electronic payments at the end of the day, the medical assistant leaves the front desk to help a coworker. When the medical assistant returns, the computer screen is blank. There is evidence that the office cleaning crew has vacuumed and emptied the trash around the front desk. How should the medical assistant initially troubleshoot this issue?  (Select the four correct answers below.)

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A. Click the mouse.

B. Press a key on the keyboard.

C. Replace the monitor connector cable.

D. Verify that the computer is plugged in and turned on.

E. Check to see that the monitor is connected to the computer.

A. Click the mouse.

B. Press a key on the keyboard.

D. Verify that the computer is plugged in and turned on.

E. Check to see that the monitor is connected to the computer.

Which peripheral office device is used to capture images for display or editing on a computer?

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A. copy machine

B. printer

C. scanner

D. mouse

C. scanner

A cardiac surgeon who provides testimony to a court for the purpose of verifying the standard of care was followed for a heart surgery, is referred to as which of the following?

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A. arbitrator

B. expert witness

C. litigator

D. guardian ad litem

B. expert witness

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*Rationale: When a Medical expert is called into court to act as an Expert Witness, it is to testify because of special knowledge or proficiency in a particular field that is relevant to the case.* 

Permission for treatment based on a full understanding of possible risks of unpreventable results is known as which of the following?

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A. contributory negligence

B. PHI

C. informed consent

D. medical malpractice

C. informed consent

A 19 year-old patient offers her arm to the medical assistant when she comes in with a blood pressure cuff and stethoscope. This is an example of

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A. parental consent.

B. implied consent.

C. informed consent.

D. verbal consent.

B. implied consent.

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*Rationale:* ***An implied consent is when a patient offers their arm, for B/P or phlebotomy, therefore, no written consent is necessary.*** *Informed Consent is when the procedure is explained in detail to the patient and they consent to the procedure by signing a release. Verbal is when the patient speaks an assent (OK or Yes) after a procedure has been explained to them. Parental consent is required when the patient is under 18 years old and the procedure is ok'd by a guardian or parent.*

 Prior to performing a venipuncture, the phlebotomist explains the procedure to the patient and obtains their signature on which of the following?

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A. informed Consent

B. legal Consent

C. lab requisition

D. verbal Consent

A. informed Consent

If a medical assistant collects a blood sample from a minor patient without obtaining parental consent, for which of the following crimes would they most likely face charges?

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A. Malpractice

B. Assault and Battery

C. Vicarious Liability

D. Negligence

B. Assault and Battery

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*Rationale: Assault involves unjustifiably threatening or attempting to touch another person and battery is the intentional touching of someone without consent. Battery includes assault. A minor patient has not reached the age of consent, so touching a minor without such consent could result in charges of both assault and battery even if no harm has been done to the patient*

Which of the following regulations set the minimum standards for medical laboratory practice and quality?

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A. HIPAA

B. CLIA

C. DEA

D. OSHA

B. CLIA

According to the American Hospital Association, if a Spanish-speaking patient requested a translator but was not provided one, it would be considered a violation of

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A. protected health information.

B. Patient's Bill of Rights.

C. patient's confidentiality.

D. Health Insurance Portability and Accountability Act.

B. Patient's Bill of Rights.

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*Rationale: It is within a patient's bill of rights to be provided a translator if one is available. If a patient requests a translator, that translator becomes a part of the health care team. By requesting a translator, the patient essentially agrees to the translator knowing private, confidential, protected medical information and therefore it would not violate HIPAA.*

Which of the following is associated with the use of aspirin products?

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A. cystic fibrosis

B. meningitis

C. fifth disease

D. Reye’s syndrome

D. Reye’s syndrome

 The patient lost her bottle of medication, but found one pill in the bottom of her purse.  Which of the following references would allow the medical assistant to determine what kind of medication it is by looking at the pill?

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A. PDR

B. MSDS

C. Poison Control Center

D. HCPC

A. PDR

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*Rationale: The PDR, or Physician’s Desk Reference, provides information about medications, their functions, contraindications, etc. The PDR contains colored pictures of thousands of drugs. The medical assistant would be able to look up the picture of the pill found in the patient’s purse to determine if it is the correct pill the patient should be taking*

The medical assistant is obtaining a patient’s current medication history.  Which of the following products has the potential to cause a drug-herb interaction and is important to include on the medication list?

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A. St. John’s wort

B. acai berry

C. green tea

D. clover honey

A. St. John’s wort

 A medication with ototoxic side effects may cause which of the following conditions?

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A. excessive moisture in the auditory canal

B. cerumen impaction

C. otitis externa

D. tinnitus

D. tinnitus