Administrative 1
A patient is a fee-for-service Medicare plan. Which of the following forms should be used for the patient when a service might not be considered medically necessary?
a. patient's bill of rights
b. notice privacy practices
c. advanced directives
d. advance beneficiary notice of noncoverage
d. advance beneficiary notice of noncoverage
Which of the following actions should a medical assistant take when communicating with patients on the phone?
a. use monotone voice
b. enunciate words
c. speak loudly so they can hear
d. use appropriate body language
b. enunciate words
Which scheduling method books multiple patients at the same time period and then sees them based on arrival order?
a. specific time scheduling
b. wave scheduling
c. double booking
d. clustering
b. wave scheduling
What is the proper procedure when a medical assistant needs to make a correction to a paper medical record?
a. erase the incorrect information and write the correct information
b. use correction fluid to cover the error and write the correction
c. draw a line through the incorrect data and add the new data
d. remove the patient with the error and replace it with a corrected page
c. draw a line through the incorrect data and add the new data
Using codes guidelines, which of the following should be supported with code selections when preparing a billing request?
a. predetermination findings
b. verification of insurance coverage
c. explanation of benefits
d. medical necessity
d. medical necessity
What is the first step in the process of verifying a patient's insurance for procedure?
a. obtain prior authorization
b. verify if the patient's insurance covered the proposed services
c. complete the insurance requirements
d. verify eligibility if the patient has health insurance coverage
d. verify eligibility if the patient has health insurance coverage
A medical assistant is speaking with an older adult patient regarding how to increase their appetite. Which of the following considerations should the assistant make when speaking with the patient?
a. speak in a loud voice
b. provide the patient with large print documents
c. speak clearly and maintain proper eye contact
d. use complex medical terms that clearly define the diagnosis
c. speak clearly and maintain proper eye contact
Which of the following has an impact on determining the duration of an appointment?
a third party payer requirements
b. provider preference
c. patient availability
d. reimbursement methods
b. provider preference
A medical assistant is checking out a patient following their appointment. Which of the following actions should the medical assistant take?
a. request to see the patient's photo identification
b. ask the patient what medications they are currently taking
c. review the after-visit summary with the patient
d. evaluate the patient's past family and social history
c. review the after-visit summary with the patient
Which of the following should a medical assistant take for a claim that was denied for lack of medical necessity?
a. bill the patient
b. resubmit the claim
c. submit an appeal
d. write off the amount
c. submit an appeal
Why is it important to verify why an appointment is needed and using proper screening methods during this process?
a. it is not important, everyone is scheduled the same amount of time
b. to ensure the patient's insurance is billed correctly prior to their appointment
c. to ensure the correct timeframe is saved for the patient according to their needs
d. it is not important, the provider will just figure it out the day of the appointment
c. to ensure the correct timeframe is saved for the patient according to their needs
A medical assistant is speaking with a patient who came in for management of diabetes. The assistant is giving the patient information about a diabetic diet. which of the following is the goal of the therapeutic communication in this situation?
a. to manipulate the conversation
b. to demand changes
c. to control the conversation
d. to encourage and support
d. to encourage and support
Which of the following questions should be asked during the screening process to determine the type of appointment needed?
a. what is the reason for the visit?
b. who is your employer
c. what medications are you currently taking?
d. what is your previous address?
a. what is the reason for the visit?
Which of the following actions should a medical assistant take if a patient is having trouble logging into a telehealth visit?
a. ask the patient to contact tech support at their local computer store
b. assist the patient with logging in and verify their settings are correct
c. ask them to reschedule when a family member is there to assist
d. request an interpreter to assist
b. assist the patient with logging in and verify their settings are correct
Which of the following is a common insufficient documentation error that can affect reimbursement?
a. excessive detail in progress notes
b. too many authenticated signatures
c. unauthenticated medical records (missing signatures and dates)
d. documentation that supports medical necessity
c. unauthenticated medical records (missing signatures and dates)
The daughter of an adult patient has called to discuss the treatment plan for their parent. Which of the following actions should the medical assistant take?
a. inform the patient's daughter that the medical provider will contact them with information
b. answer the question being asked
c. confirm the daughter is listed on the signed release of information form
d. send the patient's daughter a copy of the patient's treatment plan via email
c. confirm the daughter is listed on the signed release of information form
When discussing financial obligations with patients, what is emphasized as the most important factor?
a. collecting payment immediately
b. effective communication
c. referring patient to collection agencies
d. denying service until payment is made
b. effective communication
Which of the following categories does a medical assistant record a cash payment of $20 that a patient pays towards their appointment at the time of service?
a. copayment
b. coinsurance
c. deductible
d. write off
a. copayment
Which of the following is a benefit of using drop down menus when entering patient information into the medical records?
a. less information needed
b.greater accuracy
c. more specificity
d. more consistency
b. greater accuracy
Which of the following codes are determined by reviewing the reason for a patient's visit?
a. procedure codes (CPT)
b. ICD-10-PCS
c. HCPCS codes
d. diagnosis codes (ICD-10-CM)
d. diagnosis codes (ICD-10-CM)
When making follow-up calls to patient's, what should a medical assistant do when reaching voicemail?
a. provide detailed medical information in the meddage
b. call back later without leaving a message
c. only state their name and request a call back
d. state the intended recipient, date and time of call, their name, practice name, and call back number
d. state the intended recipient, date and time of call, their name, practice name, and call back number
A medical assistant should recognize that which of the following characteristics describe a kinesthetic communicator?
a. they tend to communicate using visual aids
b. they tend to communicate using auditory resources
c. they are one-sided with ulterior motives
d. they tend to communication by using their hands
d. they tend to communication by using their hands
Which of the following services does a clearing house provide?
a. billing patients for their financial responsibility
b. claims adjudication for the third-party payer
c. processing payroll for the healthcare organization
d. safety inspections and evaluating procedures
b. claims adjudication for the third-party payer
Which of the following describes purpose of interoperability?
a. reimbursement methodologies
b. supports the importantance of documentation
c. audits and reviews
d. credentialing
b. supports the importantance of documentation
Which of the following code sets is used specifically for hospital inpatient procedures?
a. CPT
b. HCPCS
c. ICD-10-CM
d. ICD-10-PCS
d. ICD-10-PCS