MA300 exam 2 review 3

What is usually included on the same form that allows the office to release information to the insurance company for billing purposes?

• Assignment of benefits consent

• managed care referral

• medical and social history

• Receipt of HIPAA privacy practices

What is it called when the office accepts payments directly from the insurance company?

• Insurance benefits

• assignment of benefits

• Direct pay

• capitation

What is required under HIPAA related to the medical office statement of privacy practices?

• The patient must sign a form acknowledging the opportunity to read or receive a copy of the office privacy practices.

• the patient must be given a copy of the office privacy practices.

• The patient must take a short test about the office privacy practices.

• HIPAA does not have any requirement related to office privacy practices.

For which of the following patients must the medical assistant verify insurance coverage every time the patient visits the office?

• Patients with Medicare and Medicaid

• Patients with Medicaid

• all patients

• patients with managed care insurance

How is the information on a patient’s insurance card usually recorded if the medical office uses an electronic health record (EHR)?

• The patient enters insurance information into the EHR using a computer terminal.

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  The insurance card is scanned into the EHR.

• both sides are photocopied

• The information on the card is entered into appropriate fields of the EHR.

What forms are usually filled out by the patient before the patient sees the physician?

What should the medical assistant verify for accuracy at each visit for an established patient?

• social security

• The patient’s address and telephone number

• patients clinic number

• patient's marital status

How does the medical assistant verify that a patient’s insurance will cover a procedure that will be done in the office?

• Call the patient’s employer.

• call the subscriber

• Make a photocopy of the patient’s insurance card and keep it in the file.

• call insurance carrier

When making an appointment for a patient in a managed care plan who says that he has a referral from another physician, what should the medical assistant tell the patient?

• The office of the referring physician must provide a written or electronic referral form.

• It will not be a problem to obtain the referral form after the patient has been seen.

• The medical assistant will call the managed care company to obtain the completed referral form.

• The patient will need a letter from the managed care plan in addition to the referral form.

Who is responsible for identifying the charges for which the patient will be billed?