Which of the following best describes the reason a medical assistant should ensure good personal hygiene?
A) Demonstrate a professional appearance
B) Protect clothing from materials
C) Protect patients from dirty clothes
D)Minimize body injury
A) Demonstrate a professional appearance
Which of the following is the most appropriate action when there are delays in the physician’s schedule?
A) Notify patients when there will be more than a 45-minute wait.
B) Give patients an estimate of delay and options to deal with delay.
C) Notify patients when there is an emergency only, because physician will catch up.
D) Offer to cancel and let them call for another appointment.
Correct Answer
B) Give patients an estimate of delay and options to deal with delay.
Medical facilities generate a large amount of information. The greatest bulk of it comes from what?
A) Insurance
B) Personnel
C) Medical records
D) Financial records
C) Medical records
Which of the following terms is applied when more than one policy covers an individual?
A) Coordination of benefits
B) Co-insurance
C) Co-pay
D) Deductible
E) Birthday rule
A) Coordination of benefits
Which of the following best describes the purpose of a physician’s fee profile?
A) To analyze office fees
B) To reflect charges for services and reimbursement rates
C) To prevent downcoding
B) To reflect charges for services and reimbursement rates
Which of the following qualities does a medical assistant who continually asks to leave early to go to other appointments need to develop?
A) Flexibility
B) Initiative
C) Dependability
D) Effective communication
C) Dependability
Which of the following situations will require the most time for an appointment?
A) Complete physical examination, first visit
B) Minor illness
C) Routine checkup
D) Suspicious rash
A) Complete physical examination, first visit
Which of the following is a filing method used to identify and separate items to be filed in small subunits?
A)File folder
B) Identification label
C) Out sheets
D) Indexing units
D) Indexing units
Which of the following applies to Medicare coverage that pays for outpatient services?
A) Part A
B) Part B
C) Part C
B) Part B
Which of the following is NOT included in the insurance carrier’s role?
A) Check to see that there are no pre-existing condition restrictions.
B) Ensure that the provider has a contract with the carrier.
C) Ensure that coverage was in force at the time of treatment.
D) Collect a co-payment from the physician.
D) Collect a co-payment from the physician.
Which of the following will keep the medical assistant current in knowledge in the years to come and will serve as testimony of a commitment to professionalism?
A) Dependability
B) Initiative
C) Continuing education
C) Continuing education
Which of the following is the most appropriate action when a pharmaceutical representative walks in asking for an appointment?
A) Schedule an appointment for the same day.
B) Explain office policy and schedule an appointment for the next available space.
C) Interrupt the provider and ask permission to work the person into the schedule.
D) Tell the person you will call when there is an available space
B) Explain office policy and schedule an appointment for the next available space.
Which of the following best describes the primary use of cross-reference filing?
A) Placing outguides
B) Identifying location of a file
C) Establishing a card file
B) Identifying location of a file
An insurance identification card contains the insured person's name, ID number, group number and what other information?
A) telephone number
B) social security number
C) co-pay amount
C) co-pay amount
Which of the following occurs when the insurance carrier is deliberately billed a higher rate service than what was performed to order for the provider to obtain greater reimbursements?
A) Upcoding
B) Bundling
C) Downcoding
E) Unbundling
A) Upcoding
The AAMA policy stating that any candidate for the AAMA Certification Examination be a graduate of a CAAHEP- or ABHES-accredited program was made for which of the following benefits?
A) Safeguard the quality of care to the consumer
B)Continue to promote the identity and stature of the profession
C)Ensure the CMA (AAMA)’s role in the rapidly evolving health care delivery system
D) All the above
D) All the above
Which of the following scheduling systems plans for two or more patients to be given a particular appointment time?
A) Double booking
B) Modified wave
C) Open hours
D) Stream
A) Double booking
Which of the following best describes the process of sorting through records and removing those that are not active?
A) Reminder system
B) Check-out
C) Cross-reference
D) Closed files
E) Record purging
E) Record purging
Which of the following applies to medical insurance for dependents of active duty or retired military personnel and their dependents?
A) TRICARE
B) SSI
C) CMS
D) HCFA
A) TRICARE
Which of the following applies to the coding book used for specifying services and procedures performed in the medical office?
A) ICD-9-CM
B) RBRVS
C) CPT
D) EOB
C) CPT
Mrs. L. came into the office for her stitches to be removed by the medical assistant as scheduled. Mrs. L. said she had a fever and would need to see the physician. What is the primary personal attribute you need to deal with this situation?
A) Dependability
B) Initiative
C) Effective communication
D) Flexibility
D) Flexibility
Which of the following best describes the purpose of screening?
A) Evaluate patients when they come to the office for a routine visit.
B) Determine urgency of call and care needed.
C) Arrange all patients in schedule as soon as possible.
B) Determine urgency of call and care needed.
Which of the following is the correct order of the procedural steps for filing patients’ medical records?
1. Sort
2. Code
3. Inspect
4. Index
5. File
A) 4, 3, 1, 2, 5
B) 3, 2, 1, 4, 5
C) 3, 4, 2, 1, 5
D) 3, 4, 1, 2, 5
C) 3, 4, 2, 1, 5
If the employer operates its own health plan instead of purchasing a plan from an insurance company to cover its employees, what type of plan are they utilizing?
A) Blue Cross/Blue Shield
B) HMO
C) Self-Funded Health Care
D) Workers’ Compensation
C) Self-Funded Health Care
Separating the components of a procedure and reporting them as billable codes with charges in order to increase reimbursement rates is known as what?
A) Upcoding
B)Unbundling
C) Bundling
B)Unbundling