Nurse practitioner, physician assistant or physician
A CMAA receives a call from a patient complaining of severe headaches and vomiting. Who should handle this call ?
Inform the waiting patients that an emergency has caused a delay in the scheduele and they can either wait or leave.
A provider is running 30 minutes behind schedule because of an early morning emergency. What should the medical administrative assistant do to maintain effective scheduling in the office ?
A provider leaves town without leaving a contact number and coverage for patients he is treating. He is at risk for being accused of which of the following ?
Medial Mail is much more economical
A provider needs to mail two medical books weighing a total of 14 pounds to an office across the country. He wants the books to arrive in one week. What is the most economical delivery service to use ?
Explain that the doctor is delayed and offer to reschedule if they do not want to continue waiting
A surgeon is delayed at the hospital and there are several patients waiting for him at the office. What should the CMAA do ?
NPI- National Provider Identifier
According to HIPAA regulations providers are required to have which of the following numbers ?
Receives a copy of the notice of privacy practices
According to local,state, and federal regulations , a medical administrative assistant must make sure each patient ?
UPIN- Unique Physician Identifier Number
According to Medicare regulations providers are required to have which of the following numbers ?
Schedule an appointment with the office manager
After receiving an incorrect explanation of benefits (EOB), a patient calls the physician's office insisting on viewing his medical record. What should the CMAA do ?
Ensure that all of the patient's medical records are in order.
After the provider is informed that they have received a subpoena for medical records, what should the CMAA do next?
An example of a Community Resource?
Precertify the procedure with the patient's insurance company
Before a patient has outpatient surgery, the medical administrative assistant should
Ensure the provider has initialed reports
Before adding medical records to a patient'a chart, the medical administrative assistant should take which action ?
To make sure that the physician reviewed the results reflected by the physician signature on the lab results
Before lab results can be filed in the medical records, what is the CMAA 's responsibility ?
Completion of Pre-Operative Laboratory Results
Before scheduling a patient for surgery , CMAA must verify what results?
Example of a third-party payer ?
By preparing an audit trail
How can a CMAA create a report in order to access patient accounts ?
How do you address a letter to a physician ?
Logging off the system when not in use
How do you ensure security compliance in an electronic health records system?
Confirming the date & time of the scheduled appointment
How should the CMAA end the call of a patient scheduling an appointment?
If a patient has received an abnormal lab test reflecting renal abnormalities, what type of physician would he need to see?
If a patient suffers from Congestive Heart Failure, what type of physician would he need to see?
Arrange for the provider to be present for the review
If a patient wants to review her medical records, what arrangement should be made?
If a physician does not obtain an informed consent from a coherent patient before surgery. That is considered
If a physician goes on vacation and neglects to transfer his office calls to another physician , a patient could sue on the grounds of?
If an attorney requested medical records, the medical administrative assistant released the records without authorization. Which of the following terms describes who is at fault in this scenario?
If an infant comes to the physician's office with a rash, what type of scheduling should e provided?
A truth in lending disclosure must be signed
If the physician includes a finance charge on non-covered services, what documents must the patient sign?
The CMAA needs to fax a cover sheet that contains a confidentiality disclosure statement
In order to send appropriate transmission of patient health history (PHI) to another provider
The provider to the payer
On the CMS-1500 claim form, the NPI number identifies
Per HIPAA law a covered entity is:
Advanced Beneficiary Notice (ABN)
Providers should use what form when a procedure is excluded form the Medicare fee schedule?
In a separate marked file
Medical record requests must be kept
Contact patients who are on the waiting list
Several Patients cancel their appointments for the day. What is the first action for the medical administrative assistant to take ?
Reporting a compliance violation to the auditor
The following is outside a medical administrative assistant's scope of practice
Lead the mother and child to a designated reception area.
The mother of a child who has flu-like symptoms in checking in to the doctor's office. What is the proper protocol to help prevent the spread of illness?
To get preauthorization a third party payer payer requirement is
Inform the Patient when scheduling the appointment
To make sure that a patient understands payment for services rendered by the physician at the time of a visit the CMAA must
Results in adequate patient flow
Maintain a disclosure log
What action is a CMAA required to take when providing PHI (Protected Health Information) to authorized recipients?
Receive prior authorization from the insurance carrier
What action should a CMAA take when scheduling an off-site diagnostics test?
Deny the request because the provider did not create the record
What action should a provider take if a patient who was referred to the office sends a signed letter requesting an amendment to part of his medical record?
Offer to assist any patient who appears to need assistance
What can the CMAA do in order to ensure the patient fills out all of the forms accurately and completely?
The parent whose day of birth occurs earlier in the calendar year holds the primary policy for dependent children
What describes the birthday rule?
What do you do if a patient calls the office with complaints of chest pain?
"let the master answer"; An employer is responsible for the actions of employees performed within the course of their employment
What does Respondeat Superior mean?
Speak to the person privately and inform them that their appointment has to be rescheduled due to the physician having an emergency
What does the CMAA do when the physician has been delayed out of the office and a drug representative is waiting for him?
What does the CMAA have to make sure is included on the claim form when billing the third party payer?
What form is signed by the patient to ensure that the insurance company pays the claim directly to the provider?
Advance Beneficiary Notice (ABN)
What form should a medical administrative assistant complete if a medicare provider believes a procedure may not be covered by Medicare?
Patient demographics and CPT ( Current Procedural Terminology) codes.
What information is included on the Provider's Fee Schedule?
Resource-Based Relative Value Scale- a schema used to determine how much money medical providers should be paid
What information should be considered when updating a provider's Medicare fee schedule?
Date, Salutation, Body of Letter & Signature are all shifted to the left
What is a Characteristic of block-style letter?
CEUs keep health professionals current with certification renewal requirments
What is correct about continuing educations ( CEUs)
Shred all of the documents
What is done to the medical records that have exceeded the records retention period?
What is necessary for a provider to prescribe and dispense controlled substances?
Collect payment from the patient for services rendered
What is normally a part of the check-out process in a provider's office?
What is one of the advantages of computerized appointment scheduling?
What is required to establish medical necessity on the patient Encounter form?
Noting charges for which a payment has been received
What is required when entering charges into a patient's financial account?
Verify coding compliance and resubmit the claim for adjudication
What is the appropriate procedure for a medical administrative assitant when handling a rejected health insurance claim?
$72.00 to be paid by secondary insurance = 20 %
What is the correct amount that the CMAA should submit to the secondary insurance company if the Encounter balance is $360 and the patient has 2 plans with a 80/20 split?
HIPAA- health Insurance Portability and Accountability Act
What is the federal mandate to ensure patient confidentiality?
Check future appointments
What is the first step a medical administrative assistant should complete when creating a tickler system to mail reminder letters
Mail the patient a reminder letter a week before appointment and/or call the patient 1-2 days prior to appointment
What is the first step in helping a patient remember a follow-up appointment ?
What is the first step when a CMAA is making travel arrangements for providers to attend a consultation ?
Choose a date and time for the meeting
What is the first step when scheduling time with other team members to resolve internal operational needs
What is the most cost-effective method of hiring file clerks or filing an opening ?
Erase the patient's name from the original slot
What is the most important action to take when changing a patient's appointment time?
Accurate information on the document
What is the most important thing when preparing letters and documents
What is the name of the file that a CMAA uses to maintain in order to remind patients of future appointments and procedures ?
Date and initial the change
What is the proper procedure for a medical administrative assistant when modifying a patient's record ?
What is the safest method of transfer
Patient's previous balance + current charges - insurance adjustments
What makes up the daily arithmetic reconciliation process of a patient account after a visit?
OSHA- Occupational Safety & Health Administration
What organization mandates the MSDS (Materials Safety Data Sheet) be kept ?
What piece of mail should receive the highest priority ?
Any type of chemical solution
What requires an MSDS (Materials Safety Data Sheet)?
What should a referring provider verify when giving referrals ?
What type of document should be kept to document petty cash transactions ?
No, HIPAA states that only the last name of the patient can be called out
When a CMAA calls out a patient's name in the waiting room , can the first and last name be called out?
The referring physician, diagnosis and insurance information
When a doctor refers a patient to a specialist, what needs to be included on the referral other than patient demographics ?
Releases of information authorization form
When a medical administrative transmits a medical record, what document is required ?