STUDY QUESTIONS Flashcards

1
Q

How long is a comprehensive visit scheduled for?

A

30- 40 minutes

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2
Q

What does a claim scrubber do?

A

Finds common billing errors before a claim is sent to an insurance carrier

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3
Q

What does a write-off indicate?

A

A balance that could not be collected due to bad debt or contractual discounts

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4
Q

What does ACO stand for?

A

Accountable Care Organization

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5
Q

What does Accountable Care Organization do?

A

Involves groups of health care providers working in collaboration to provide high quality pt care to Medicare recipients

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6
Q

Denied = ?

A

Claim where 3rd party payer refuses to grant payment due to policy coverage issues

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7
Q

Implied consent:

A

Involves the patient consenting by nonverbal action/conduct. Medical assistant rely on when patient can’t speak for themselves due to a medical emergency

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8
Q

A patient refuses to pay their copayment:

A

Inform the patient that the copayment is due at the time of the service

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9
Q

Pineal Gland:

A

Part of the endocrine system that produces melatonin and regulates sleep patterns

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10
Q

True or False: Preauthorization must be signed by CMAA before a procedure can be performed

A

True

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11
Q

A CMAA is writing written instructions to a patient about a procedure. How should the CMAA write the instructions?

A

6th to 8th grade level

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12
Q

What’s an aspect of professional behavior as a CMAA?

A

Keeping fingernails short and clean

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13
Q

A CMAA is preparing to create a patient file placeholder in he facilities EHR. Apart from the patient name what does the CMAA need?

A

Patients Number

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14
Q

What is the birthday rule?

A

The guardian whose birthday occurs earlier in the year holds the primary policy for dependent children

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15
Q

If a patient presents symptoms of chest pain, shortness of breath, heart burn, jaw pain, and syncope is experiencing what?

A

Heart Attack

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16
Q

Advance Directives=

A

Assistant should recognize that a medical power of attorney is an advance directive

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17
Q

Interpreter that uses silent mouth speech, gestures, and hand codes for each speech sound?

A

Oral Interpreter

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18
Q

What is a CMAA’s 1st priority when pulling out daily charts?

A

Review the appointment schedule. In order to know which charts to pull for the day.

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19
Q

CMS=

A

Centers for Medicare and Medicaid Services

20
Q

CMS - 1500=

A

An electronic form for out patient billing, which is what a providers office is considered

21
Q

Which of the following parts of Medicare pays for hospitalization?

A

Part A
pays for inpatient services, hospitalization, skilled nursing care facilities, hospice, and home health.

22
Q

All pages of a patients medical record must include which of the following information?

A

Patients Name

23
Q

A superbill aka a Patient encounter form:

A

Document used to record services rendered to the patient

24
Q

What does RBRVS stand for:

A

Resource based relative value scale

25
What does RBRVS do?
Establishes the units used in determining Medicare fee schedules based on overhead expenses, amount of work involved, and cost of malpractice insurance
26
Scribe=
Entering the data into the EHR as the patients examination is being conducted
27
What's a method to reduce number of no shows?
Call the patient 1-2 days before their scheduled appointment
28
Medical Administrative Assistant is checking in several patient's who showed up at the same time and are frustrated due to extended wait times. What should the MAA do?
Greet each patient with a smile
29
What does Subpoena Duces Tecum?
Court order to mandate appearance and produce medical records for a trial
30
What does credit balance represent?
Represents a negative number on a patient's account and indicates an overpayment has been made
31
What type of housing for patient's provide help with ADL'S such as feeding, bathing, and ambulating?
Long term facility
32
A medical administrative assistant should verify a patient's CPT code for which of the following?
Obtaining preauthorization
33
A medical administrative Assistant is creating an appointment for a patient, which action should be taken 1st?
Confirm patient's or callers identity
34
What is Medicaid?
A health coverage program for individuals of limited/ low income
35
What does CVA mean?
Cerebrovascular Accident/ Stroke
36
Deductible =
Amount must be met before the insurance carrier will cover any medical expenses
37
Advance Directives=
Documents that describe what type of medical treatment a patient wants if the patient is no longer able to communicate
38
What action should a medical administrative assistant take when dealing with a patient that has partial hearing loss?
Reflective communication When speaking with the patient involves repeating what the patient says back to them
39
True or False: HIPAA requires patients to be provided (NPP) Notice of Privacy Practices during 1st visit?
True
40
CAD =
Coronary Artery Disease
41
What is a part of a patient's social history?
Substance Use
42
What type of referrals are used in emergency situations?
STAT Referrals
43
Account Aging =
Determining how long specific account balances have been outstanding
44
An ethical issue that involves the manipulation of genetic material in cells to produce specific outcomes in hereditary traits?
Genetic Engineering
45
ICD-10-CM
Current code-set used to describe the reason for the services provided. These codes are also known as "diagnosis codes"