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WorksheetsWorksheet Questions Extraction
Total questions: 45
Worksheet time: 23mins
If a patient calls to request a medication refill, which information should always be included in the message?
How many months or years the patient has been taking the medication
The medication name and dose
The approximate date of the last appointment with the physician
Symptoms the patient is having that require a refill of the medication
Which item listed below would be found in the past history section of the patient's medical record?
Mother's breast cancer diagnosis
How often the patient drinks alcohol
Latex allergy
Appendectomy performed in 2005
What is the name of the Coordination of Benefits rule for deciding who carries the primary insurance for the children when both parents carry a family health insurance plan?
Primary rule
Benefits rule
Birthday rule
Family rule
HCPCs codes are used primarily to identify what?
Supplies
Office Visits
Surgeries
Poisoning
The payment for a covered service under a health insurance plan is called what?
Premium
Copayment
Benefit
Deductible
What is the only type of Medicare plan that can be secondary to Medicare Part A and B?
Medicare Advantage Plan
Medicare Supplemental or Medigap
Medicare Part D
There isn't a Medicare plan that can be secondary to Medicare Part A and B.
Which statement below is NOT true about referrals?
A referral is used to direct patient care from the PCP to a specialist.
A referral is the name of an authorization for a treatment.
A referral usually needs approval from the insurance company.
A referral is made by a specialty provider to a PCP.
Which of the items listed below are NOT contained on a CMS 1500 claim form?
Provider's National Provider Identification (NPI) Number
The CPT code for the service provided
The insurance company's allowed amount for the service provided
The ICD-10 diagnosis code for the service provided.
What does it mean that surgical procedures are coded as a surgical package?
The code coverage all routine services related to surgery.
The services included in a surgical package cannot be coded separately.
Both A and B are correct.
None of the above describe a surgical package.
CPT codes can be identified as NOS. What does that mean?
No Open Specifics
Not Otherwise Specified
New Options Selected
Never Offer Secondary
A letter that outlines total charges for the visit, the allowed amount, any insurance adjustments, any payments made by the insurance, and any patient responsible amount owed. This form is called what?
Remittance Advice
Coordination of Benefits
Explanation of Benefits
Assignment of Benefits
Some managed care plans utilize a formulary. What is a formulary?
Preauthorization requirements
A list of covered procedures.
A list of covered medications.
None of the above.
What phrase best describes a Medicare Advantage Plan?
It only covers inpatient services.
It only covers prescription drugs.
It is a Medicare supplement plan.
It is a Medicare replacement plan.
What letter begins the ICD-10 diagnosis codes for patients who do not have a disease or injury?
Z
J
X
H
What information should the medical assistant leave in the voicemail message?
The medical assistant should never leave a voicemail message.
The medical assistant should leave the detailed instructions the physician provided.
The medical assistant should only leave the phone number and not identify the name of the physician office.
The medical assistant should identify themselves, the name of the physician office, and request a return call with the phone number of the office.
Which government insurance is always the "payor of last resort"?
TriCare
CHAMPVA
Medicaid
Medicare
What should the medical assistant do if a patient comes to the physician office but doesn't speak English?
Use google translator on their smartphone.
Tell the patient they have to bring a translator or they can't be seen.
Use a credentialed medical translator vendor both over the phone and when the patient presents to the office.
Refer the patient to a physician office where they have someone who speaks their preferred language.
A medical assistant removed a paper medical record from the filing cabinet and replaced it with a card that lists the name of the patient's medical record, who removed the medical record, and the date it was removed, so it can easily be filed once the medical assistant is done with the medical record. This card is called what?
File holder
Place holder
Outguide
Out of Office Guide
What is the purpose of the Review of Symptoms (ROS) section in the medical record?
To help upcode the medical record.
To identify genetically inherited diseases.
There is no Review of Systems in the medical record.
To identify symptoms that might otherwise go undetected.
What information should a medical assistant collect from a patient to be used for billing the patient?
Guarantor Information
Copy of the front and back of the insurance card
Patient's photo ID
All of the above.
Which of the following DO NOT need to be included in a Release of Medical Information (ROI) form?
The signature of the patient or his or her legal representative.
The name of the medical practice releasing the information.
Patient's Insurance Information
A listing of what information should be released.
An example of something included in the patient's social history section of the medical record is
That his maternal grandmother had diabetes.
That you used to smoke cigarettes in your early twenties.
That your sibling had colon cancer.
That you have been hospitalized four times in your life.
HIPAA stands for?
Health Insured Portability Advancement Act
Health Insured Protection American Act
Health Insurance Portability and Accountability Act
Health Insurance Pathway Advanced Act
A medical assistant should ask a patient to validate his or her identify in which situation?
Before scheduling the patient an appointment.
Before entering information in the patient's medical record.
Before giving a patient an immunization that the physician ordered.
All of the above.
When is it appropriate for a medical assistant to give medical advice to a patient?
Only if the medical assistant is the only person in the physician office.
If they only suggest over the counter medications.
If the patient calling the physician office is a friend.
It is never appropriate for the medical assistant to give medical advice to a patient.
Another physician calls the office and needs to speak to the physician. The medical assistant uses what phone feature to send that call to the physician who is sitting in her office?
Call Transfer
Call Hold
Call Forward
Call Park
Double booking is a concept typically used to schedule what type of patient visit?
Well child visit
Procedures
Acute visit
Hospital Follow-up Visit
The physician prefers to have procedures scheduled for 60 minutes, new patients for 30 minutes, and acute visits for 15 minutes. What is the minimum appointment time interval used to schedule visits for this physician?
15 minutes
20 minutes
30 minutes
60 minutes
A Prior Authorization is obtained from an insurance company when:
They agree to approve a procedure that is medically necessary.
They confirm the patient is eligible for coverage on the date of service.
They confirm the patient is a beneficiary of the insurance policy.
They make a payment for an office visit.
The person who is financially responsible for the patient's account is called the...
Insured
Guarantor
Subscriber
Beneficiary
The patient signs a form when they check-in for their visit authorizing their insurance company to pay the healthcare provider directly. The patient signed the:
Patient Privacy Rights
Consent to Treat
Release of Medical Records
Assignment of Benefits
The medical assistant schedules three patients at the start of the hour and then they are seen by the physician in the order they arrive. This is an example of what type of scheduling?
Block Scheduling
Cluster Scheduling
Stream Scheduling
Waived Scheduling
What act requires a new patient to sign a Notice of Patient Privacy Practices?
Affordable Care Act
American Medical Association Act
Health Insurance Portability and Accountability Act
World Health Organization
Which of the following are included as established patients?
Patients who have had at least one appointment in the last year.
Patients who have appointments at 6 month intervals.
Patients who have been seen in the medical office during the past three years.
All of the above describe an established patient.
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 insurance carrier
Call the subscriber of the insurance plan
Scan a copy of the patient's insurance card into the patient's medical record.
What is a way to handle a patient who has a pattern of being late for appointments?
Give the patient the last appointment of the day.
Encourage the patient to find another physician.
Send the patient to the Emergency Room.
Refuse to see the patient.
How might the medical assistant prepare the telephone system for the day's activities?
Turn on all office computers and printers.
Unlock the front door.
Notify the answering service the office is open.
Review the workload messages in the electronic health record.
What is it called when the office accepts payments directly from the insurance company?
Co-Insurance
Subscriber
Assignment of Benefits
Patient Privacy Rights
Which of the following is NOT a guideline for appointment scheduling?
Concentrate on the person to whom you are speaking.
Repeat information back to the patient.
Speak quickly to save time when another patient is waiting.
Schedule the proper amount of time for the type of appointment.
Which condition is the lowest priority and could wait until an available appointment in 1 or 2 days?
Vaginal bleeding during pregnancy
Earache with drainage
Cold with runny nose
A laceration (cut) that will not stop bleeding
If patients must fast for laboratory tests, what special scheduling requirements should be initiated?
Schedule the patient for the laboratory test at least 1 week before an appointment with the physician.
Schedule the patient early in the morning if possible.
Instruct the patient to arrive for the laboratory test with a full bladder.
The patient can be scheduled at any time of day that is convenient.
Which of the following is NOT included in the social history?
Dietary history
Health habits
Occupation
Chronic illnesses
Which of the following names would be filed last?
Booker, L. Elliott
Booker, Elliott
Booker, E. Lawrence
Booker, L. E.
Which of the following situations requires the completion of a release of medical information form?
When a patient transfers records to a new physician
To bill the patient's insurance company
To send the patient's records to a consulting physician
To determine the patient's eligibility for insurance benefits
The health history is taken
After the physician performs the physical examination
After laboratory test results are reviewed
Before the physician performs the physical examination
After the physician makes a diagnosis of the patient's condition
