Patient Demographics & Intake
Which of the following is considered patient demographics?
A. Education
B. Previous address
C. Insurance ID number
D. Prior employer
C. Insurance ID number
Which form allows medical providers to bill and receive payment directly from the third-party payer?
A. Assignment of benefits
B. Notice of privacy practices
C. Advance directives
D. Release forms
A. Assignment of Benefits
Insurance plans may require the patient to pay a fixed amount at the time of service. Which of the following is this payment?
A) Deductible
B) Coinsurance
C) Exclusion
D) Copayment
D) Copayment
Which code set is used for outpatient and physician diagnostic procedures such as blood work?
A) ICD-10-CM
B) CPT
C) ICD-10-PCS
D) HCPCS
B) CPT
Which of the following forms is included in the patient's electronic health record?
A) Resume
B) I-9 form
C) Advance directives
D) Provider licensure
C) Advance directives
What is the main consequence of entering incorrect patient demographic information?
A. Inaccurate reimbursement
B. Incorrect services billed
C. Erroneous patient invoicing
D. Duplicate billing
C. Erroneous patient invoicing
Which document outlines a person's explicit wishes regarding future medical treatment?
A. Assignment of benefits
B. Advance directives
C. Release form
D. Financial responsibility form
B. Advance Directives
Which of the following is included in an EOB or ERA?
A) Diagnosis code
B) Preexisting conditions
C) Allowed amounts
D) Premium amounts
C) Allowed amounts
Which code set is used for diagnosis coding, such as identifying Strep throat?
A) ICD-10-CM
B) CPT
C) ICD-10-PCS
D) HCPCS
A) ICD-10-CM
Which of the following is a benefit of having laboratory reports from previous encounters in the patient's electronic health record?
A) It allows the provider to see possible chronic conditions in the patient's health.
B) Family members can access them.
C) They can be replaced regularly.
D) Patients can modify the results.
A) It allows the provider to see possible chronic conditions in the patient's health.
When should administrative staff verify a patient's insurance eligibility?
A. Monthly
B. Annually
C. After each EOB is received
D. When scheduling and at each visit
D. When scheduling and at each visit
Which form explains how patient information will be used and disclosed by a medical provider?
A. Financial responsibility form
B. Advance directives
C. Notice of privacy practices
D. Assignment of benefits
C. Notice of privacy practices
Which of the following describes a person who has Medicare and Medicaid coverage?
A) Medi-Medi
B) Medi-Cal
C) Medigap
D) Medicare Advantage
A) Medi-Medi
Which code set is used for inpatient facility procedure coding, such as the dilation of a right femoral artery?
A) ICD-10-CM
B) CPT
C) ICD-10-PCS
D) HCPCS
C) ICD-10-PCS
Which of the following is best when communicating with a patient who has hearing loss?
A) Ask their preference for communicating
B) Find an open area to talk
C) Speak with their family member or caretaker
D) Provide handouts in large print
A) Ask their preference for communicating
What is the best action to take to avoid creating duplicate patient electronic records?
A. Enter any nicknames to search
B. Verify the patient identity
C. Create an electronic medical record for each visit
D. Look up using a family member's information
B. Verify the patient identity
Which form gives formal authorization to release patient medical information to a specified person?
A) Notice of privacy practices
B) Release form
C) Financial responsibility form
D) Assignment of benefits
B) Release Form
Which form is signed by a patient agreeing to remit payment for medical services received?
A) Notice of privacy practices
B) Release form
C) Financial responsibility form
D) Assignment of benefits
C) Financial responsibility form
Which procedure supports medical necessity for evaluating a suspected fractured arm?
A) X-ray
B) Stitches
C) Throat culture
D) Urinalysis
A) X-ray
Which of the following should a CMAA do if the patient asks a question and they are not sure of the correct response?
A) Give the best guess
B) Inform the patient they will follow up when they have the answer
C) Respond unintended
D) Ask the patient to Google the answer
B) Inform the patient they will follow up when they have the answer
Which of the following actions should be taken when finding a duplicate patient electronic medical record?
A. Delete the second one created
B. Delete the original
C. Keep both records putting a 1 and 2 after the names
D. Merge the two records
D. Merge the two records
Which of the following is included on an encounter form?
A) Current medications
B) Past immunizations
C) Procedural codes
D) Date of last visit
C) Procedural codes
Which code set is used specifically for durable medical equipment and supplies, such as a wheelchair?
A) ICD-10-CM
B) CPT
C) ICD-10-PCS
D) HCPCS
D) HCPCS
Which procedure supports medical necessity for diagnosing Streptococcal pharyngitis?
A) X-ray
B) Antibiotics
C) Throat culture
D) Urinalysis
C) Throat culture
Which procedure supports medical necessity when evaluating a patient suspected of having a Urinary Tract Infection (UTI)?
A) X-ray
B) Throat culture
C) Urinalysis
D) Antibiotics
C) Urinalysis