WITH 100% CORRECT ANSWERS
(GRADED A+)
Where is HIPAA compliance required - Answer- in all of medical organizations and must
be part of the compliance plan
When are stat referrals used - Answer- in emergent situations
When are urgent referrals used - Answer- ncnlife threatening situation and are approved
within 24 hours
What is capitation payment - Answer- form on managed care designed to have the
physician provide health care to his members for a fixed payment at a contradicted
interval
RBRVS - Answer- resource based relative value scale
schema used to determine how much money medical providers should be paid. it is
partially used by medicare in the US and by nearly all health maintenance organizations
(HMO)
When is release of info authorization needed - Answer- when a cmaa transmits a
medical record
HITECH - Answer- collects delinquent accounts
Day sheet - Answer- ensures accounts accounting
OSHA - Answer- oversees work place safety
Encounter form - Answer- form needed for reimbursement
Is an invoice considered a final record - Answer- no and it should not be stored
Where does the retention of pt medical records vary - Answer- by state.
the cmaa should consult state guidelines
Progress notes - Answer- part of authorization documentation and are forwarded to third
party payers
, EOB (explanation of benefits ) - Answer- document from an insurance carries that
shows how the amount of the benefit was determined
how does practice management software produce pt - Answer- by procedure
how is pt health record produced - Answer- using HER software
disbursement journal - Answer- tracks payment and details, including dates, check
numbers, and payers. this is a specific function of manual and automotive systems
when are tickler files used - Answer- reminders and are based on the needs of pt
when is a doctors order needed - Answer- for all diagnostic procedures
when should an MA assistant schedule a return appointment for a pt - Answer- when pt
checks out
proper protocol when following up on nonpayment and of claims from third party payers
- Answer- notify the pt of the claim; contact third party payer
when reviewing a pts history, a cmaa should identify the acronyms as setting for
medical care - Answer- SNF
which of the following is a characteristic of a block style letter - Answer- salutations is
flushed left
which new patient form becomes part of the pt medical record - Answer- health history
in which of the following places should the office computer back up information stored -
Answer- in an offsite location
information that needs to be removed from the sign in sheet - Answer- the full name of
the pt
a provider will be out of the office. the cmaa action would take first - Answer- update the
schedule to reflect provider is away
before releasing medical records - Answer- ask pt to sign a release form requesting
record
which of the following owns a pt medical record - Answer- creator
reason why the cmaa would print and review appt schedule - Answer- to ensure charts
are prepared