CMAA BALDY

Which of the following information is essential for a medical administrative assistant to include on a fax cover form for a patient's laboratory results?

A. A forwarding service request

B. A confidentiality statement

C. The patient's telephone number

D. The provider's signature

B. A confidentiality statement

How should a provider's office dispose of unclaimed medical records that have exceeded the

legal retention time?

A. Following each transaction

B. Shred all documents

C. Keep the records indefinitely

D. Send to the patient's family

B. Shred all documents

Which of the following suffixes means pain?

A. -agon

B. -acusis

C. -ary

D. -algia

D. -algia

Which of the following information should the medical administrative assistant enter into the carrier block of the CMS-1500 claim form?

A. The name of the referring provider

B. The name of the other insured party

C. The name of the patient's health insurance plan

D. The name of guarantor

C. The name of the patient's health insurance plan

Which of the following parts of Medicare covers physicians' services?

A. Part B

B. Part D

C. Part A

D. Part C

A. Part B

Which of the following acronyms should the medical administrative assistant identify as a type of managed care plan?

A. PHR

B. ROS

C. PPO

D. AMA

C. PPO

In order for insurance coverage to be in effect, which of the following is the policyholder required to pay?

A. Deductible

B Coinsurance

C. Premium

D. Copayment

C. Premium

A patient tells a medical administrative assistant that she is concerned about how much she will have to pay out of pocket for the office visit's charges after her health insurance plan processes the claim. The assistant should explain to the patient that she will receive which of the following documents to address her concerns?

A. Superbill

B. Utilization review

C. Insurance claim tracer

D. Explanation of benefits

D. Explanation of benefits

A medical administrative assistant is scheduling a new patient over the phone. Which of the following information should the assistant obtain?

A. Medical history

B. Advance directives

C. Demographic data

D. Next of kin

C. Demographic data

which of the following determines the provider's fee schedule?

A. The Office of the Inspector General

B. The Joint Commission

C. The third-party payer

D. The office manager

C. The third-party payer

A returning patient is considered a new patient after how much time has elapsed without seeing the provider?

A. 1 year

B. 4 yrs

C. 48 hours

D. 2 years

D. 2 Years

A medical administrative assistant is reviewing a prescription which includes the directions " 1 tab PO TID." The assistant should interpret "TID" as with of the following?

A. Twice daily

B. Three times daily

C. The end of day

D. Telephone order

B. Three times daily

A medical administrative assistant creates a referral letter with the body of the letter flush with the left margin. The date, closing, and signature are positioned in the center. What type of letter style is the assistant using?

A. Modified block

B. Full block

C. Semi-block

D.Simplified block

A. Modified block

A patient is charged $10,000 for medical services. The patients health insurance has a $1000 deductible that he has not met yet, a 5% coinsurance responsibility, and a $1500 out of pocket expense maximum. Which of the following amounts must the patient pay out of pocket?

A. $1,500

B. $2,000

C. $2,500

D. $1,000

A. $1,500

A medical administrative assistant should pay for which of the following using petty cash?

A. Clinical supplies

B. Patient refunds

C. Postage stamps

D. Staff lunch

C. Postage stamps

According to HIPAA guidelines, which of the following is a patient's right regarding her medical record?

A. The right to remove her original medical record from the facility

B. The right to have her medical record destroyed

C. The right to request that the facility amend her medical record.

D. The right to add personal documentation to her medical record.

C. The right to request that the facility amend her medical record.

Which of the following forms should a Medicare patient sign before receiving a non-covered service?

A. Explanation of benefits

B. Notice of Privacy Practices

C. Advance Beneficiary Notice

D. Assignment of benefits

C. Advance Beneficiary Notice

A medical administrative assistant, in a new pediatric practice is planning appointment scheduling. Which of the following actions should the assistant take?

A. Build a secure sign-in sheet.

B. Develop the matrix.

C. Create the tickler file.

D. Set up a no-show log.

B. Develop the Matrix

Which of the following incoming mail documents should receive the highest priority?

A. Invoices

B. Insurance referrals

C. Diagnostic test results

D. Medical journals

C. Diagnostic test results

Which of the following terms describes an examination involving both sides?

A. Proximal

B. Unilateral

C. Bilateral

D. Medial

C. Bilateral

After a referred patient completes all necessary forms, which of the following actions should the medical administrative assistant normally take?

A. Send copies of the forms to the referring provider.

B. Forward the forms to the insurance carrier.

C. Copy the forms for the patient.

D. Attach the forms to the patient record.

D. Attach the forms to the patient record

Which of the following patients should receive priority scheduling?

A. An adolescent who is experiencing severe anxiety

B. A patient who has labored breathing

C. A patient who has chronic back pain

D. A child who has a fever of 38.6• C(101.4° F)

B. A patient who has labored breathing

A provider asks the medical administrative assistant to schedule a surgical procedure to examine a patient's abdominal cavity. The assistant should identify this as which of the following procedures?

A. Ketoacidosis

B. Abdominocentesis

C. Laparoscopy

D. Gastroparesis

C. Laparoscopy

A medical administrative assistant is filing laboratory results for several patients who have appointments later that day. Which of the following describes how the assistant should place the reports in the patients' files?

A. Face down

B. In front of the demographic sheet

C. Most recent in back

D. Clipped to the front of the folder

C. Most recent in back

A medical administrative assistant learns that a patient who has diabetes mellitus missed a recent appointment due to an unexpected hospitalization. Which of the following actions should the assistant take regarding this information?

A. Notify the family of the patient's hospitalization.

B. Bill the patient for the missed appointment.

C. Alert the provider of the patient's status.

D. Cancel future appointments.

C. Alert the provider of the patient's status.

In which of the following circumstances is a patient's original medical record removed from a providers office?

A. When an insurance carrier is conducting an internal audit

B. When a subpoena has been issued.

C. When the provider is seeing the patient in an emergency department.

D. When the patient is deceased.

B. When a subpoena has been issued

Which of the following forms includes information about a patient's lifestyle?

A. Family history form

B. Past history form

C. Review of systems form

D. Social history form

D. Social history form

Which of the following actions should a medical administrative assistant perform as part of the check-in process in a provider's office?

A. Review the patient's diagnosis.

B. Collect payment from the patient.

C. Schedule the patient's follow-up appointment.

D. Provide an explanation of benefits form to the patient.

B. Collect payment from the patient.

A medical administrative assistant is preparing a patient's medical record and realizes that another patient has the same name. Which of the following information should the assistant confirm to select the correct record?

A. ZIP code

B. Third-party payer

C. Insurance policy number

D. Date of birth

D. Date of birth

A patient called to cancel an appointment. In which of the following places should the medical administrative assistant document the cancellation?

A. Encounter form

B. Ledger card

C. Registration form

D. Patient's chart

D. Patient's chart

Which of the following title formats is correct for an inside address?

A. Mr. Michael Johnson, M.D.

B. Dr. Johnson, Michael, M.D.

C. Michael Johnson, M.D.

D. Johnson, Michael, M.D.

A. Mr. Michael Johnson, M.D.

A medical administrative assistant works in a multispecialty practice, A patient calls and states that he has a history of CHF. With which of the following specialists should the medical administrative assistant schedule the patient?

A. Gastroenterologist

B. Cardiologist

C. Pulmonologist

D. Endocrinologist

B. Cardiologist

A provider requests that a medical administrative assistant load handwritten notes into the practice's computer system. Which of the following devices should the assistant use to enter the provider's notes?

A. Flash drive

B. Scanner

C. Server

D. Modem

B. Scanner

Which of the following is an example of a third-party payer?

A. Worker's compensation

B. Beneficiary

C. Guarantor

D. Participating provider

A. Workers compensation

A medical admin. assistant is preparing the paper charts for patients who have appointments the following day. Which of the following criteria should the assistant use when arranging the charts?

A. Medical record number order

B. Scheduling order

C. Lab result number order

D. Alphabetical order

D. Alphabetical order

In which of the following ways can a medical administrative assistant ensure security compliance in an electronic health records system?

A. Keep the system logged out when not at desk.

B. Maintain written medical records for 4 years.

C. Share your password with your coworker, in case you forget it.

D. Leave the written copy on your keyboard while you go to lunch.

A. Keep the system logged out when not at desk.

A medical administrative assistant should do which of the following when calling to confirm the date and time of an appointment for a school-age child?

A. Confirm the date and time of the appointment with the patient.

B. Leave a message on the patient's cell phone.

C. Speak with the guardian who made the appointment.

D. Provide a detailed message for the guardian on the home phone.

C. Speak with the guardian who made the appointment.

in which of the following places should the office computer back up information to be stored?

A. In the office manager's office

B. In a fireproof safe

C. In the provider's office

D. In an off-site location

D. In an off-site location

A patient requests that her most recent lab reports be sent to her gynecologists office, which of the following documents must the patient sign before the med admin assistant transfers the results?

A. HIPAA release

B. Record release

C. Financial policy

D. Informed consent

B. Record release

A pharmaceutical representative has an appointmenot with a provider. The provider has an emergency at the hospital. Which of the following is the primary responsibility of the medical administrative assistant?

A. Privately inform the representative that the provider will not be able to keep the appointment.

B. Have the representative meet with a laboratory assistant.

C. Send a message to inform the provider that the representative is in the office.

D. Ask a nurse to inform the representative that the provider will not be able to keep the appointment.

A. Privately inform the representative that the provider will not be able to keep the appointment.

A new patient is inquiring about office policies and procedures. Which of the following is an appropriate response from the medical administrative assistant?

A. "Here is a copy of our policies and procedures."

B. "I will provide you with a detailed list of policies and procedures after your visit today."

C. "The nurse will provide you with the policies and procedures in the exam room.

D. "Per HIPAA regulations, you must sign a release before receiving our policies and procedures."

A. "Here is a copy of our policies and procedures."

Which of the following is an example of an appropriate interaction between a medical administrative assistant and a patient in the reception area?

A. Offer to educate a family member of the patient about a diagnosis or procedure.

B. Be supportive and share a similar experience with the patient.

C. Following the appointment, explain directions to the patient for any prescribed medications.

D. Upon arrival for the appointment, greet the patient by name

D. Upon arrival for the appointment, greet the patient by name

Office protocol is to schedule patients every 15 min, but the clinical medical assistant is habitually late to the office following lunch. Which of the following actions should the medical administrative assistant take to ensure that patients are not kept waiting?

A. Call the clinical medical assistant after lunch to remind him that patients are waiting

B. Schedule time after lunch for administrative duties.

C. Address scheduling and tardiness with the office manager.

D. Fill in as the clinical medical assistant until he arrives.

C. Address scheduling and tardiness with the office manager.

A provider indicates to a medical administrative assistant that she will be out of the office from

0900 to 1300 every Monday and Wednesday from May to August. Which of the following actions should the assistant take?

A. Update the matrix to include the provider's requested unavailability.

B. Block out the full days of the week that the provider requested for time off.

C. Send all patients notification of the change in the provider's schedule.

D. Redirect appointments scheduled during the requested time off to the clinical medical assistant.

A. Update the matrix to include the provider's requested unavailability

Which of the following tasks should a medical administrative assistant complete when closing

A. Print an aging report.

B. Turn off the answering service.

C. Arm the security system.

D. Verify patients' insurance benefits.

C. Arm the security system

An attorney who has a power of attorney document for a patient requests to see the patient's medical record. Which of the following actions should the medical administrative assistant take?

A. Release the record to the attorney.

B. Call the patient to verify.

C. Make an appointment for a record review.

D. Ensure that the patient has an updated emergency contact on file.

A. Release the record to the attorney.

which of the following actions are recommended by osha to prevents accidents at a medical facility ?

A. Store heavier objects on the highest shelf of cabinets.

B. Use extension cords to plug extra equipment into one electrical outlet.

C. Place handrails and grab bars on the outside of the restroom.

D. Make sure outside lighting is adequate and in working condition.

D. Make sure outside lighting is adequate and in working condition.

The total charge for today's office visit is $172, of which $146 is allowable. The patient's copayment is $20, and the deductible of $300 has been met Which of the following amounts does the patient owe today?

A. $128

B. $20

C. $26

D. $166

B. $20

A medical admin assistant is scheduling 3 patients to arrive at the same time each hour. The provider will see these patients in the order that they arrive. Which of the following scheduling methods is the assistant using?

A. Stream

B. Advance

C. Wave

D. Open office

C. Wave

While stocking supplies, a medical administrative assistant spills a hazardous substance on his hand. Which of the following resources should the assistant consult to find the correct first aid intervention?

A. Facility maintenance record

B. Safety data sheets

C. Centers for Disease Control and Prevention

D. Food and Drug Administration

B. Safety data sheets

A patient has 80/20 insurance coverage with an annual deductible of $100. Which of the following statements by the medical administrative assistant about the patient's insurance benefits is appropriate?

A. "I will collect the coinsurance and write off the remaining balance."

B. "The 80 percent needs to be paid before you see the provider."

C. "I will notify the billing manager of your deductible."

D. "Your deductible needs to be met before the coinsurance rate will be in effect."

D. "Your deductible needs to be met before the coinsurance rate will be in effect."

A provider prescribes surgically puncturing a patient's chest to remove fluid. Which of the following suffixes applies to this procedure?

A. -lysis

B. -stomy

C. -ectomy

D. -centesis

D. -centesis

OSHA training requirements include instructing employees about the availability of the hepatitis B vaccine series for those at risk for occupational exposure. Which of the following information should be included in the training?

A. The employee should receive the vaccine series within 1 year of employment.

B. An employee has the right to decline the vaccine series but must sign a declination form.

C. The vaccine series must be available within 20 working days of hire.

D. An employee who declines the vaccine series may receive it at a later date at the employee's cost.

B. An employee has the right to decline the vaccine series but must sign a declination form.

A patient who started who started antibiotics several days earlier calls the office and states she has developed a rash. Which of the following actions is appropriate for the medical administrative assistant to take?

A. Advise the patient to stop taking the medications.

B. Forward that patient's message to the provider.

C. Refer the patient to an emergency department.

D. Recommend that the patient call the pharmacy.

B. Forward that patient's message to the provider.

A medical administrative assistant should identify which of the following data as protected health information?

A. Gender identity

B. Employment status

C.Account balance

D. Religious affiliation

A. Gender identity

At the conclusion of an appointment, a patient requests to schedule a follow up visit with the provider. Which of the following responses by the medical administrative assistant is appropriate?

A. "I have you scheduled for Friday at 10 A.M."

B. "Our office has appointments Wednesday at 9 A.M and Thursday at 10 A.M."

C. "Please call our office as soon as possible to schedule your follow-up appointment."

D. "I will fit you in tomorrow with the nurse."

B. "Our office has appointments Wednesday at 9 A.M and Thursday at 10 A.M."

In which of the following situations should a provider bill a patient who is enrolled in Medicaid?

A. When the provider determines that the patient is able to pay for services

B. When services provided are not covered by Medicaid

C. When the Medicaid payment is less than the billed amount

D. When the patient has cancelled an appointment

B. When services provided are not covered by Medicaid

Which of the following forms must be available in a patient's chart to document the results of an office visit?

A. Discharge summary

B. Referral

C. Preauthorization

D. Progress note

D. Progress note

A medical administrative assistant is scheduling an appointment for a patient who reports having blue and gray fingers and toes. Which of the following medical terms describes the patient's condition?

A. Vitiligo

B. Pallor

C. Cyanosis

D. Jaundice

C. Cyanosis

Which of the following is an abbreviation for a digestive disorder that affects the lower esophageal sphincter and stomach?

A. GVHD

B. GTT

C. GAD

D. GERD

D. GERD

Which of the following can be done using a stethoscope?

A. Claudication

B. Auscultation

C. Ligation

D. Exenteration

B. Auscultation

An encounter form is used for which of the following?

A. Prior authorizations

B. Advanced Beneficiary Notice

C. Referrals

D. Billing

D. Billing

Which of the following classifications of mail allows for deliver 7 days a week and 356 days a year, including Sunday's and holiday to most locations?

A. Certified mail

B. First-class mail

C. Media mail

D. Priority mail express

D. Priority mail express

A medical admin assistant is scheduling a patient for a urethral dilation. The assistant should schedule the patient to see which of the following specialists?

A. Neurologist

B. Pulmonologist

C. Urologist

D. Cardiologist

C. Urologist

Which of the following situations requires a patient to fast prior to appointment?

A. Minor surgery using a local anesthetic

B. Inpatient admission

C. Inpatient surgery

D. Observation admission

C. Inpatient surgery

A medical administrative assistant is processing a regular referral for a patient who belongs to an HMO. The assistant completes the referral form and faxes it to the HMO. When the patient asks about proceeding with the referral, which of the following responses by the assistant is appropriate?

A. "The HMO will approve the referral, so we can make the appointment now."

B. "We will have an answer in 30 days, and we can make the appointment at that time."

C. "I will call you to make an appointment when we receive your referral confirmation."

D. "I will call the HMO to see if we can turn this into a stat referral."

C. "I will call you to make an appointment when we receive your referral confirmation."

Which of the following requires a provider to disclose finance charges when extending credit to applicants?

A. Fair Debt Collection Practice Act

B. Fair Credit Billing Act

C. Truth in Lending Act

D. Equal Credit Opportunity Act

C. Truth in Lending Act

What type of software application should a medical admin assistant use when documenting patient progress notes?

A. Double booking

B. Word processing

C. Microsoft

D. Spreadsheet

B. Word processing

A medical administrative assistant has scheduled a patient for laboratory testing that will take place at another facility. Which of the following actions should the assistant take to complete the scheduling process?

A. Document the insurance information in the patient's chart.

B. Call the insurance company to provide the scheduling information.

C. Call the laboratory to give the patient's medical history.

D. Document the scheduling arrangement in the patient's chart.

D. Document the scheduling arrangement in the patient's chart.

Which of the following should a patient sign in order for the provider to receive payments from a third party payer?

A. Patient registration form

B. Assignment of benefits

C. Surgical consent form

D. Universal claim form

B. Assignment of benefits

A medical administrative assistant receives a call from a patient who reports ear pain and a sore throat. Which of the following office personnel should handle this call?

A. The office manager

B. The provider

C. The triage nurse

D. The nurse practitioner

C. The triage nurse

Which of the following information should a medical administrative assistant include when leaving an appointment reminder voicemail for patient?

A. The patient's reason for scheduling the visit

B. The type of provider the patient will be seeing

C. The type of laboratory work that the patient needs to have done prior to the visit

D. The number to call if the patient needs to cancel

D. The number to call if the patient needs to cancel

Which of the following does an informed consent form include?

A. Insurance preauthorization

B. Risks of a procedure

C. Dunning message

D. Demographic data

B. Risks of a procedure

Which of the following suffixes refers to a doctor with a specialty practice?

A. -logy

B. -ist

C. -itis

D. -lysis

B. -ist

A medical administrative assistant is closing the office for the day, which of the following tasks should the assistant perform at this time?

A. Prepare cash and check payments for back deposit.

B. Ensure that the examination rooms are stocked and clean.

C. Turn off the answering service.

D. Make sure prescription pads are available in the provider's office.

A. Prepare cash and check payments for back deposit.

A medical administrative assistant should identify that urgent care centers typically use which of the following types of scheduling?

A. Clustering

B. Open hours

C. Double-booking

D. Modified

B. Open hours

A medical administrative assistant is faxing a patient's medical history. Which of the following actions should the assistant take to help ensure confidentiality?

A. Remove the patient's name from the faxed message.

B. Ask the patient to review the information first.

C. Telephone the receiving office to alert them that the fax is about to arrive.

D. Avoid the use of cover sheets and disclosures.

C. Telephone the receiving office to alert them that the fax is about to arrive.