QUESTIONS AND CORRECT ANSWERS
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What does CMS stand for?
Centers for Medicare and Medicaid Services
What is the standard claims form used by health care professionals to request
reimbursement for services rendered?
CMS-1500
Also known as a Superbill, an itemized form of services submitted to insurance
companies for reimbursement:
An encounter form
This document allows patients access to their own medical records and allows
release of those records to other providers and individuals.
Release of Information Form
What is the most important role of the Medical Assistant?
Patient Education
Threatening a person with bodily harm is considered:
Assault
Unconsented physical contact with another person is considered:
Battery
What is the medical term for painful menstrual periods?
Dysmenorrhea
Of the following which is a medical assistant not allowed to perform?
ABG
,Entering a patients room without knocking or having permission is an example of:
Invasion of Privacy
Deception with the intent to deprive another person of his/her rights:
Fraud
What is the negligent delivery of professional services?
Malpractice
What is the failure to do something that a reasonably prudent individual would do
under similar circumstance?
Negligence
What should an MA do if they suspect spousal abuse?
Provide a brochure or list of organizations that can assist the patient
While working at an pediatric office you suspect abuse with one of your patients,
what should you do?
report to provider
A civil wrong committed against a person or property:
Tort
Refers to the chronological documentation or paper trail of a specimen.
Chain of Custody
What organization sets quality standards and issues certificates for human clinical
laboratories?
CLIA
What does the acronym CLIA stand for?
Clinical Laboratory Improvement Amendments
What law protects the privacy of a patient's medical record?
HIPAA
,What is the organization that regulates healthcare facilities?
The Joint Commission
What does OSHA stand for?
Occupational Safety and Health Administration
What federal agency overseas and regulates safety in the work place and provides
training without cost?
OSHA
What is the most important component of patient safety?
Correctly identifying the patient
A patient extending his/her arm for phlebotomy or undressing for a physical exam
is considered:
Implied Consent
Explaining to the patient the risks, benefits, possible outcomes and alternative
therapies is a form of:
Informed Consent
Obtaining a patient's signature to perform a procedure is called:
Written Consent
A list of guarantees for those receiving medical care, including fair treatment and
autonomy over medical decisions:
Patients' Bill of Rights
What does POMR stand for?
Problem Oriented Medical Record
Which record should always be filed in chronological order?
POMR
The information contained within the medical record belongs to:
The patient
, Who owns the physical form containing the patient's information?
the author or provider
What organization manages providers, hospitals, and other health care entities
who have agreed with an insurer or third party to provide health care at reduced
rates?
PPO
What Federal program provides heath insurance for those with limited income
and resources?
Medicaid
This Federal health insurance program provides insurance for those aged 65 or
older, certain people with disabilities, and those with ESRD.
Medicare
What is the healthcare plan for military personnel and their dependents to
receive care from civilian providers at the expense of the Federal government?
Tricare
Wage replacement and medical benefits for those injured on the job is:
Workers' Compensation
What does ABN stand for?
Advanced Beneficiary Notice
This document is a notice the provider gives the patient before services are
provided if, based on Medicare coverage rules, the provider has reason to believe
Medicare will not pay for the service:
ABN
An insurance payment structure in which the insured pays a share of the payment
made against a claim, always written as a fraction for which the insurer pays the
top number and the patient pays the bottom number, e.g. 80/20.