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WorksheetsCMAA CH 2 - PATIENT INTAKE
Total questions: 28
Worksheet time: 7hrs 0mins
The CMAA must always verify insurance benefits for every patient.
TRUE
FALSE
If a medical office charges Medicare patients for no show appts, you must also charge non- Medicare patients.
TRUE
FALSE
The process of purging medical records/files means
you are shredding them
you are moving medical charts from active to inactive
you are converting them from paper to electronic records
none of these are correct
If the CMAA does not get preauthorization from the insurance company when required, the insurance company still has to pay no matter what.
TRUE
FALSE
What rule states the following: The health plan of the parent whose birthday comes first in the calendar year is designated as the primary plan.
primary parent law
birthday rule
assignment of benefits rule
none of these
What is the purpose of the assignment of benefits (AOB) form?
This form authorized the insurance company to send benefits directly to the provider.
This form allows the insurance policy holder to transfer benefits to their children.
This form authorizes grandparents to get benefits from the health insurance policy.
none of these are correct
What is a STAT referral?
This is the most common type of referral and usally takes 3-10 working days after the CMAA has faxed the patient’s information
The CMAA should immediately get the referral approved via a phone call with the insurance company.
Fax the referral and only allow up to 24 hours for review and approval.
Used for urgent, but not life threatening situtations. The CMAA should process this as quickly as possible.
What are reimbursements?
payment of benefits to the provider from insurance companies
refunds to the insurance companies from the provider
supplying the petty cash fund with more money
Medical records are considered inactive when
the patient has not been seen in 6 months or longer
the patient has not been seen in 3 months or longer
the patient has not been seen in 12 months or longer
medical records are never considered inactive
What information is included on the demographics sheet?
(click all that apply)
Name
SSN and DOB
insurance
medications
allergies
The patient has decided that they do not want any extra life saving measures such as CPR.
A _______________________________ must be in the chart.
assignment of benefits form
regular referral form
advance directive form
treatment modifier form
The patient’s insurance plan is a 80/20 coverage plan. The total bill amount is $500. What does the patient owe in medical cost?
$400
$100
$30 copay
$250
Once the MD has made referral and wrote the order, what is the next step for the CMAA?
collect insurance copay to secure the appt
preauthorize the appt or procedure with the insurance company
give the patient a copy of the referral order
make the appointment
Medications, surgeries, allergies, and chronic health issues must be documented on the
demographics form
assignment of benefits form
health privacy form
health history form
The notice of privacy practices explains how and when PHI can be used/released and to whom.
TRUE
FALSE
The EMR form states that a person does not want CPR or any life saving measures.
TRUE
FALSE
What is an encounter form?
this form gives information regarding name, address, & inusrance
the MD fills out this form after seeing the patient as a record of the visit
the CMAA fills out this form when the patient arrives at the clinic
this form is a record of patient health history
What type of MD do you call if the patient needs to have skin cancers removed?
cardiologist
dermatologist
urologist
gastroenterologist
The patient is having symptoms of congestive heart failure and needs to see a specialist. Which MD do you call?
urologist
dermatologist
cardiologist
gastroenterologist
What are CPT codes used for?
to document services rendered by the provider
to code medicacations
to code allergies
none of these
What is PHI?
protected health information
personal health information
personal health insurance
protected health insurance
Consent is best described as the patient's permission.
TRUE
FALSE
Medical charts for patients who have died, moved away, or terminated the physician/patient relationship are considered
active
inactive
closed
old
The person or entity responsible for payment of services after the insurance has paid their part is
guarantor
the person listed on the AOB
the provider
none of these
Current Procedure Terminology is abbreviated as
CPT
CT PRO TERM
CP TERM
NONE OF THESE
centers for Medicare and Medicaid services
CMS
AMA
PHI
CPT
Modifiers are added or changed information regarding procedures or services.
TRUE
FALSE
A provisional diagnosis is a secondary diagnosis to the primary diagnosis.
TRUE
FALSE
