MOSS 4.0 Final Test

The provider orders a tonsillectomy for the patient. In which section of the SOAP note would this be recorded?

plan

A(n) ________ refers to the ability to share electronic medical records with other health care facilities.

EHR

A(n) _______ system is software used for administrative and billing tasks, such as scheduling appointments, generating reports, and billing insurance providers and patients.

PM

The four main categories of the Merit-based Incentive Payment System (MIPS) are:

Quality, Cost, Promoting Interoperability, and Improvement Activities.

Which of the following is considered an access control in the PM software?

passwords

Which of the following refers to login information used to access the PM software?

credentials

Deborah Acuna is seeing Dr. Anderson as her PCP today for a rash on her left arm that developed about a week ago and has worsened over the past couple of days. Based on her insurance card shown below, what is her co-payment amount for this visit?

$25.00

Which HIPAA rule addresses the use and disclosure of individuals' protected health information (PHI) by covered entities?

Privacy

You are checking in new patient Deborah Acuna and need to enter the effective date of the insurance. The patient does not know the effective date and it is not listed on the insurance card. Where could you find the effective date?

online eligibility report

When entering the patient's chief complaint, you should:

enter the complaint as described by the patient, using their own words.

The provider observed the patient had cold, clammy skin. Where would this information be recorded in a SOAP note?

Objective

One of your responsibilities is to print patient education to give to the patient following the provider's visit with the patient. Where would you look to find what patient education should be given?

plan section of the SOAP note

The administrative medical assistant checks in a new patient and collects the patient's insurance information. Which of the following refers to the insurance policy number?

subscriber number

What are the rules (also known as the rights) of medication administration?

Right patient, Right medication, Right dose, Right route, Right time, and Right documentation

__________ eligibility refers to others that are related to the insured and can be added to the insured's policy.

Dependent

An individual who has received professional services from a physician within the past three years, or from another physician of the same specialty who belongs to the same group practice is referred to as a(n):

established patient.

An established patient presents a new insurance card at check in. What should you do?

upload a copy of the insurance card to the patient's record and update the patient's insurance information in the record

A ________ is used to block an appointment schedule to reflect the clinic hours and provider schedules to include outside office appointments, vacations, meetings, hospital rounds, and other responsibilities that affect the times they are unavailable, especially to see patients.

matrix

The provider has asked you to schedule a patient's next preventative care appointment in the PM software. What visit type is this considered?

b. history and physical examination

When should the Medical Assistant document the administration of parenteral or oral medication?

immediately document the medication after administering it to the patient

Samuel Browne is a 12-year-old patient at Hillview Pediatrics. His mother has called the office requesting an appointment for Samuel because he fell off his bicycle a couple of days ago and has been complaining of minor pain in his right arm since the fall. What type of appointment would you schedule for Samuel?

office visit

Martin Quinn was recently diagnosed with diabetes. The physician has asked you to schedule a recurring weekly appointment for Mr. Quinn over the next month. What type of appointment would you schedule for Mr. Quinn?

a. follow-up office visit

What information is required to properly fill out a preauthorization form for plan approval of an in-office procedure?

the requesting provider's information, service provider or facility, requested service, procedure, and diagnosis on the payer specific preauthorization form

Which of the following patient scenarios best describes a rescheduled appointment?

Mr. Johanson calls the office to change his 2:00 appointment, scheduled for today, to an office visit in two weeks at 3:30.

A patient calls the office requesting a same-day appointment due to acute illness. This patient is considered a(n) _________ patient.

work in

A patient enters the clinic and requests to see the provider due to experiencing severe, acute abdominal pain. This patient is considered a(n) ______ patient.

walk-in

What kind of claim replaces a previously submitted, processed, or finalized claim in the adjudication system for which a claim number was assigned?

corrected claim

Dr. Smith has asked you to provide him with a list of patients being seen that day, including the type of visit and time of visit. You will generate which of the following to provide Dr. Smith with this information?

appointment reference sheet

The HIPAA Privacy Rule requires that patients be notified of the provider's privacy practices. The document that the patient signs to indicate that they are aware of these practices is the:

privacy acknowledgement form.

Janice Hughes is an established patient at your clinic. When she checks in for her appointment, she tells you that she was recently married, and her last name is now Jones. Her name and marital status changes are referred to as __________ information.

demographic

In the case of family insurance coverage, one adult is ordinarily the __________. A spouse and children would ordinarily be ___________.

subscriber; dependents

Benefits verification/eligibility entails all of the following EXCEPT:

confirming provider availability.

The United States legislation that assures patient privacy and security provisions for medical information is:

Health Insurance Portability and Accountability Act.

Medical assistants are sometimes required to input scanned copies of patients' insurance cards into PM software. To do so, the medical assistant will __________ the scanned copy.

upload

Dr. Rodriquez, a provider at your clinic, has asked you to provide information regarding patient wait times. Where would you find this information in the PM software?

flow board

Beth White is a new patient at your clinic. When asked for her insurance card, Beth asks you what a copayment is. How should you respond?

A copayment is a fixed amount for a covered service, paid by the patient before the patient receives service from the provider.

Blood pressure, heart rate, respiration rate, and temperature are known as _________. This information is considered ___________ information.

vital signs; objective

A _________ includes specific dosage instructions, such as directions on how and when to take the medication.

SIG

Dr. Clarke, a general practitioner, has transferred her patient, Anna, to Dr. Chan, an endocrinologist. Dr. Clarke is considered the __________ provider.

referring

The provider may determine that the patient needs to see a specialist outside of your facility. This is called a:

referral

The clinic allows patients to have access to its patient portal system. Using this website, Anna (a patient at Hillview Medical Center) can view all of the following EXCEPT:

the future appointments of other patients.

Which code set would be used to assign a code to a patient's diagnosis of bradycardia?

ICD-10

Established patient Kylee Jones has an appointment in your office tomorrow. You believe the patient needs an interpreter. Where could you find this information?

Patient Alerts/Alerts Log

To determine if the pediatric patient's height and weight is within the normal range, you would generate a(n):

growth chart.

A patient has been diagnosed with a hairline fracture of the right fibula. As the administrative medical assistant responsible for medical billing and coding, which type of code would you assign for this patient's diagnosis?

ICD-10

What does the negotiated rate, or the eligible expense, refer to?

the maximum amount of charges approved or allowed by an insurance company on which payment will be based

You've been asked to batch and bill electronic claims to Aetna for today's patient appointments. Select the appropriate criteria from the options below to generate a list of claims to bill.

Today

eClaims

Insured

Coded

Aetna

Authorized

The practice manager has asked you to run a report using PM software that shows all patient accounts that are in arrears. You understand this to mean:

the practice manager would like you to run an aging report.

With regard to patient collections, the responsible party is the:

individual who is responsible for any private pay balances.

Where would you look to find details on claims billed to the insurance, and how the claims were paid, including information on allowables, deductibles, adjustments, and the net payment?

remittance advice