Medical Terminology
A medical administrative assistant works in a multi-specialty practice. A patient calls to make an appointment concerning her thyroid medication. Which of the following providers should the assistant schedule the appointment?
A. Cardiologist
B. Endocrinologist
C. Urologist
D. Gastroenterologist
B. Endocrinologist
A medical administrative assistant intentionally codes for a service not provided on an insurance claim form. Which of the following terms describes this action?
A. Fraud
B. Abuse
C. Upcoding
D. Bundling
A. Fraud
A medical administrative assistant is completing a CMS-1500. Which of the following agreements is indicated when the assistant selects "yes" in the "Accepting Assignment" block?
A. The patient agrees to coordinate payment with the secondary payer.
B. The patient agrees to the terms of the agreement set forth by the insurance payer.
C. The provider agrees to the coordinate payment with the secondary payer.
D. The provider agrees to the term of the agreement set forth by the insurance payer.
D. The provider agrees to the terms of the agreement set forth by the insurance payer.
A patient who belong to an HMO requires an appointment at a cardiologist's office. Which of the following documents must the medical administrative assistant have before making the appointment?
A. ABN form
B. NPP form
C. Referral form
D. Consent form
C. Referral form
A medical administrative assistant should ensure that an acknowledgement of which of the following forms is included in all patient's charts?
A. NPP
B. OCR
C. ABN
D. DNR
A. NPP
(Notice of Privacy Practices)
After a pt. completes an office visit, she checks in with the medical administrative assistant to schedule a sigmoidoscopy. Which department should the assistant contact regarding this procedure?
A. Urology
B. Gastroenterology
C. Neurology
D. Nephrology
B. Gastroenterology
Which of the following charges could be filed by a pt. if a provider performs an invasive exam without obtaining informed consent prior to the procedure?
A. Libel
B. Battery
C. Negligence
D. Assault
B. Battery
A patient has a new prescription for a series of injections to treat chronic migraines, and the costs of the prescription are unlikely to be covered by the patient's insurance. Which of the following actions should the medical administrative assistant take?
A. Fax the prescription request to the pharmacy.
B. Refer the patient to a specialist.
C. Discuss other covered treatments with the patient.
D. Provide an Advance Beneficiary Notice to the patient for consent.
D. Provide an Advanced Beneficiary Notice to the patient for consent.
A medical administrative assistant is creating a provider's schedule to show her monthly availability. Which of the following is the assistant creating?
A. Tickler file
B. Matrix
C. Template
D. Spreadsheet
B. Matrix
A medical administrative assistant should recognize which of the following as a correct statement regarding a pt's protected health information and HIPAA.
A. Patients can access their psychotherapy notes.
B. Patients have the right to remove any information they choose from the medical record.
C. Patients have the right to be notified about the uses and disclosures of their information.
D. Patients own their medical records.
C. Patients have the right to be notified about the uses and disclosures of their information.
A medical administrative assistant is scheduling a patient for a laboratory appointment to determine the status of their anemia. Which of the following conditions is being assessed?
A. Increased platelet cell count
B. Decreased RBC count
C. Decreased WBC count
D. Increased coagulation
B. Decreased RBC count
Which of the following was created to ensure that patients can participate in treatment decisions?
A. Affordable Care Act
B. Patient's Bill of Rights
C. ADA
D. HIPAA
B. Patient's Bill of Rights
A medical administrative assistant should use which of the following forms when submitting a claim to Medicare from a primary care provider's office?
A. CMS-1500
B. EOMB
C. CMS-1450
D. DNR
A. CMS-1500
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 Please call the office to schedule
B. I have you scheduled for Friday at 10 am
C. Our office has appointments on Wed at 9 or Thursday at 10 am
C. Our office has appointments on Wed at 9 or Thursday at 10 am
Which of the following is the purpose of OSHA guidelines in a health care environment?
A. To ensure workplace safety
B. To reduce the number of lawsuits
C. To maintain HIPAA
D. To increase the patient outcomes
A. To ensure workplace safety
When reviewing a patient's medical record, a CMAA should identify which of the following acronyms as a medical disorder?
A. CDC
B. PPO
C. UTI
C. UTI
Which of the following statements describes malpractice involving res ipsa loquitur?
A. The insurance carrier has the burden of risk management.
B. The insurance carrier may be liable.
C. The provider has the burden of proving their own innocence.
D. The provider is bound by physician-patient confidentiality.
C. The provider has the burden of proving their own innocence.
A 66 year old pt. has insurance coverage through her employer. Which of the following types of insurance should the medical administrative assistant bill?
A. Medicaid
B. Group
C. Medicare
D. Private
B. Group
Which of the following information should be included in the patient demographic registration section?
A. Existing health conditions
B. Occupation
C. Billing history
D. Hobbies
B. Occupation
When a pt requests a copy of her medical records, which of the following actions should the CMAA take first?
A. Document the request
B. collect the fee for the medical record
C. Make a copy of the pt's ID
D. Request pt. sign a release of information
D. Request pt. sign a release of information
A pt. Reports having an increased heart rate. Which of the following terms describes this patient condition?
A. Bradycardia
B. Hypoxia
C. Bruit
D. Tachycardia
D. Tachycardia
A CMAA asks a pt about a recent camping trip. This personal information is an example of which of the following?
A. Incidental disclosure
B. HIPAA violation.
C. Indication that staff cares
C. Indication that staff cares
A provider in an ophthalmology practice tells a medical administrative assistant that he is giving his 9:00 am appointment a "professional courtesy". How should the assistant interpret the provider's directive?
A. Treat the patient's visit as a professional consultation, not a point of service.
B. Do not allow the patient to wait for longer than 5 min before escorting him to an examination room.
C. Direct the patient to the opthalmologist's office.
D. Waive the patient's charges for the opthalmologist's office.
D. Waive the patient's charges opthalmologist's office.
A CMAA is scheduling a surgical procedure for a pt. Which of the following actions should the assistant take?
A. Give pt copy of their records
B. Have pt. sign informed consent
C. Provide pt with written procedure instructions
D. give pt. surgeon contact information
C. Provide pt with written procedure instructions
According to HIPAA privacy rules, patients have the right to do which of the following?
A. view past provider violations
B. Remove Medical Record from provider's office
C. Amend their own medical record when there is an error
C. Amend their own medical record when there is an error