CMAA Review #1

Which of the following should be considered when updating a provider's Medicare fee schedule?

• Resource-Based Relative Value Scale

• Usual, Customary, and Reasonable

• Utilization Review

• Insurance payments

When the patient completes the assignment of benefits form, they are agreeing that the payment for their services provided will go to ____________.

• the insurance company

• the provider

• the patient's employer

• the patient

The medical assistant should know which of the following as a correct statement regarding a patient's protected health information?

• patients can have access to their psychotherapy notes

• patients own their medical records

• patients have the right to remove any information they choose from the medical record

• a patient has the right to be told about the uses and disclosures from their medical record

What information do you need about the beneficiary to process a CMS-1500 claim form?

• Employer name

• explanation of benefits

• patient's account number

• referring provider

What must be done to ensure appropriate transmission of PHI to another provider?

• fax a cover sheet that contains a confidentiality disclosure statement

• deidentify the patient record

• call the receiver prior to sending the fax to verify medical necessity

• include the HIPAA policy with the fax

A patient has both Medicare and Medicaid insurance, which of the following statements by the medical assistant is an acceptable way to explain the patient's insurance benefits?

• Your Medicaid coverage is secondary to your Medicare coverage

• You will pay for the services up front and your insurance will reimburse you

• Medicare will cover 50% of your costs

• After you pay your co payment, I will bill the rest to your insurance

Using indexing rules, in which of the following sections of the filing system will the medical assistant place the record of a patient names Ann-Marie Jensen-Davis?

• J

• D

• M

• A

Which of the following suffixes would be used for a surgical puncture of a patient's chest to remove fluid?

• -ectomy

• -stomy

• -centesis

• -lysis

Who would the provider refer the patient with an elevated white blood cell count to see?

• Pulmonologist

• Cardiologist

• Gynocologist

• Hematologist

Which specialist would the medical assistant schedule an appointment for a patient with Type 1 Diabetes Mellitus?

• Gastroenterologist

• Anesthesiologist

• Endocrinologist

• Mycologist