PBS CMAA and CEHRS Topic Checklist

Practice flashcards covering the foundational knowledge, clinical and non-clinical operations, and regulatory compliance for CMAA and CEHRS certifications.

CMAA Exam Structure

A certification exam consisting of $110$ scored items and $25$ pretest items, with a total time of $2$ hours and $15$ minutes.

CEHRS Exam Structure

A certification exam consisting of $100$ scored items and $25$ pretest items, with a total time of $125$ minutes.

Medical Terminology Components

The use of roots, prefixes, and suffixes to build the meaning of unfamiliar medical terms.

Anatomical Positions and Directions

Terms including anterior, posterior, medial, lateral, proximal, and distal used to describe body orientation.

Scope of Practice

The definition of what an administrative assistant is legally permitted and not permitted to do within their role.

Therapeutic Communication

The application of empathy, active listening, and neutral wording particularly when dealing with upset patients.

HIPAA Privacy Rule

Regulations governing Protected Health Information (PHI), the minimum necessary use standard, and patient rights regarding disclosures.

HIPAA Security Rule

Safeguards for electronic information including password safety, workstation safety, and access controls.

HITECH

Legislation that addresses breach notification requirements and the protection of electronic health information.

Consent versus Authorization

The distinction between permission for providing care (consent) and permission to release patient information (authorization).

Advance Directives

Legal documents such as a living will or health care power of attorney that outline a patient's medical wishes.

OSHA

The agency governing workplace safety, including bloodborne pathogens, exposure response, and hazard communication.

Ethical Principles

The application of autonomy, beneficence, nonmaleficence, justice, and confidentiality in a healthcare setting.

Scheduling Methods

Appointment systems including open hours, stream, wave, modified wave, double booking, clustering, and matrix scheduling.

Prior Authorization

The requirement to obtain approval from a payer before services, procedures, medications, or equipment are provided.

Patient Identifiers

Specific data used to verify identity, such as name, date of birth, MRN, address, and phone number.

Insurance Eligibility Verification

The process of confirming active coverage, benefits, copays, deductibles, coinsurance, and effective dates.

Intake Forms

Documents including the assignment of benefits, notice of privacy practices, release forms, and financial policies.

Revenue Cycle

The full path of a patient encounter from the initial appointment to claim submission, payment, denial management, and collection.

CMS-1500

The standard professional claim form used for billing medical services.

EOB and Remittance Advice

Documents that detail the allowed amount, adjustments, payments, denials, and the final patient responsibility.

Interoperability

The ability of different electronic health record systems to share data and accurately match patient information.

CPOE

Computerized Provider Order Entry; a system used for electronic entry of medical orders by practitioners.

Charting Formats

Documentation structures used in clinical records, including SOAP, POMR, and SOAPIER.

Role-Based Access

Security controls that limit user access to only the specific data and privileges needed for their job role.

Downtime Procedures

The established backup workflows used to maintain operations when EHR access is unavailable.

Ad Hoc Reports

Custom financial or clinical reports created from selected data fields within the EHR for specific analysis needs.