Category 1
Which of the following establishes the units used to determine Medicare fee schedules based on overhead, and cost of malpractice insurance?
Resource-based relative value scale (RBRVS)
Medicare Administrative Contractor
Utilization review process
Usual, customary, and reasonable (UCR)
Resource-based relative value scale(RBRVS)
A medical administrative assistant should recognize that which of the following abbreviations is correct according to The Joint Commission's " Do Not Use" list?
QOD
PO
IU
MS
PO
A medical administrative assistant is preparing to submit electronic medical claims directly to the Centers for Medicare and Medical Services (CMS). Which of the following should the assistant use?
Electronic claims tracking system
CMS-1450 claim form
CMS-1500 claim form
Claims clearinghouses
CMS-1500 claim form
Which of the following methods enables scheduling of multiple patients during the first 30 minutes of each hour while still allowing flexibility throughout the hour for the provider to see all scheduled patients?
Double-booking
Clustering
Open Hours
Wave
Wave
A medical administrative assistant is closing the office for the day. Which of the following actions should the assistant take ?
Turn on all equipment
Turn off the answering service
Activate the alarm system
Unlock the reception room door
Activate the alarm system
A medical administrative assistant should identify that a provider will document a patient's postoperative status by charting in which of the following sections of an electronic health record (EHR)?
Prescriptions
Referral
Diagnostic imaging
Progress note
Progress note
A medical administrative assistant should check a patient's demographic form for accuracy against which of the following?
Driver's license
Medical history form
Authorization for treatment
Assignment of benefits
Driver's license
A medical administrative assistant is drafting a letter to to a patient. The assistant should identify that which of the following involves a sentence in which two or more independent clauses are joined without a conjunction?
Run-on sentence
Complex sentence
Compound-complex sentence
Simple sentence
Run-on sentence
A third-party payer is requesting documentation to support billed services. Which of the following is the appropriate document the medical administrative assistant should forward to the third-party payer?
Notice of privacy practices (NPP)
Progress notes
Release of information form
Patient registration form
Progress Notes
A medical administrative assistant should verify a patient's CPT code for which of the following processes?
Coordination of benefits
Determining eligibility of services
Obtaining preauthorization
Receiving a referral
Obtaining preauthorization
A medical administrative assistant provide a patient with a copy of the Patient's Bill of Rights. Which of the following components is part of this legal document?
Patient are unable to question the details outlined on the document
Patients should have a vague understanding of what to expect regarding their privacy and personal information
Patient understand only providers have a right to make health care decisions
Patient should be advised of the means of communication in used to contact them with medical information
Patient should be advised of the means of communication in used to contact them with medical information
A medical administrative assistant should identify that which of the following types of interpreters uses silent mouth speech, gestures, and codes for each speech sound?
Sign language interpreter
Oral interpreter
Tactile interpreter
Qualified medical interpreter
Oral interpreter
A patient reports a breach of confidentiality to a medical administrative assistant. The assistant should direct the patient to which of the following resources first?
Office of the inspector General (OIG)
Provider
Office manager
Office of civil rights (OCR)
Office manager
A medical administrative assistant is providing a patient with instructions about fast before their upcoming laboratory test. Which of the following statements should the assistant make?
"Do not eat or drink anything from 8-12 hours before the test"
"Do not eat or drink anything for 1 to 2 hours before the test"
"Do nit eat or drink anything for 24 hours before the test"
"Do not eat or drink anything for 4 hours before the test"
"Do not eat or drink anything from 8-12 hours before the test"
A medical administrative assistant is preparing to mail a medical device to a patient. Which of the following types of extra services should the assistant use to ensure the package has protection against loss or damage of up to $5,000?
Insured mail
Certificate of mailing
Adult Signature
Registered
Insured mail
In which of the following situations is it allowable to release a patients medical record?
When a court requests the record through a subpoena duces tecum
When the patient is in an accident and an emergency medical technician (EMT) requests the record
When a provider from another office requests to review the record
When the patient's employer requests to transfer the record to workers' compensation
When a court requests the record through a subpoena duces tecum
Which of the following is court order to mandate appearance and produce medical records for a trial?
Subpoena duces tecum
Deposition
Interrogatory
Respondeat superior
Subpoena duces tecum
A provider code a procedure indicating the incorrect laterality. The medical administrative assistant firmly and clearly informs of the the difference in coding. Which of the following types of communication is the assistant demonstrating?
Assertive
Aggressive
Passive
Reflective
Assertive
A medical administrative assistant is filling a claim for a child who has health insurance coverage under both guardians. Which of the following actions should the assistant take?
File the claim with both guardians insurance plans at the same time
Ask the guardians which insurance plan they would like the claim filed under
File the claim with the insurance plan of the guardian whose birthday comes first in the calendar
File the claim with the insurance plan of the guardian who brought the child in for the visit.
File the claim with the insurance plan of the guardian whose birthday comes first in the calendar
Which of the following information should a medical administrative assistant verify on a referral?
Insurance coverage
Emergency contact
Drivers license number
Financial hardship
Insurance coverage
Which of the following documents identifies the denied claim and includes a statement from the provider detailing the medical reasoning for performing the procedure?
Explanation of benefits (EOB)
Appeal letter
Fee schedule
Encounter form
Appeal letter
Which of the following documents identifies which procedures are allowed if a patient becomes unable to communicate medical decisions?
Subpoena
Advance directives
Release of information
Informed consent
Advance directives
All pages of a patient's medical record must include which of the following information?
Insurance ID number
Patient's address
Patient's name
Social security number
Patient's name
Which of the following involves the use of technology to provide medical services, including diagnosis and treatment, to patients from a distance?
Continuing education units (CEUs)
Emergency medicine
Patient centered medical home (PCMH)
Telemedicine
Telemedicine
A medical administrative assistant is preparing to mail a medical device to a patient. Which of the following types of extra services should the assistant use to ensure the package has protection against lost or damage of up to $5,000?
Certificate of mailing
Insured Mail
Adult signature
Registered mail
Insured mail