CMAA FLASHCARDS QUESTIONS
AND ANSWERS
A Medicare patient presents to the office for medication refills but expresses a financial
barrier. Which of the following Medicare plans might be able to assist the patient with
paying for prescription medications? - Answer- Part D
A provider is reimbursed for services rendered using CPT and ICD - 10 - CM codes.
This is an example of which of the following types of payment models? - Answer- Fee
for - service
A provider is rewarded via a bonus when quality and performance measures are met.
This is an example of which of the following types of payment models? - Answer- Pay -
for - performance
Which of the following patients is considered Medicare eligible? - Answer- A patient
diagnosed with end - stage renal disease
Which of the following is a function of a clearinghouse ? - Answer- Submits claims to the
third - party payer
Which of the following is the set amount established by an insurance payer for an office
visit and should be collected at the time of the encounter ? - Answer- Copay
A medical administrative assistant notices that no payments from a certain third party
payer have been received in the past month . Which type of report should the assistant
review to determine the status of the submitted claims ? - Answer- Insurance aging
report
Which of the following programs will qualify a patient based on income ? - Answer-
Medicaid
Which of the following is a program that is available to a patient who has no income or
has specific medical needs ? - Answer- Special needs plan ( SNP )
A provider is paid a set amount for each member per month . This is an example of
which of the following types of payment models ? - Answer- Capitation
, Which of the following forms is used to report claims to a third - party payer from a
provider's office ? - Answer- CMS - 1500
Which of the following codes are reported on the claim form to represent the conditions
managed at the time of the visit and are required by the third - party payer for claims
processing ? - Answer- ICD - 10 - CM
time to submit claims is known as which of A third - party payer's policy for the length of
the following ? - Answer- Timely filing
A Medicare beneficiary has enrolled in a health plan that offers inpatient , outpatient ,
vision , and dental coverage . In which of the following types of health plan is the
beneficiary enrolled ? - Answer- Medicare Part C
Which of the following is a type of physical safeguard to protect patient medical records
? - Answer- Software that logs access history
Which of the following paper filing systems can be helpful in a multiple - provider
practice ? - Answer- Color
Which of the following is accurate regarding back - up procedures for data storage in a
health care organization ? - Answer- Downtime may be necessary when upgrades or
maintenance occur .
Patients can receive care at many different types of health facilities . Which of the
following delivery models directs its resources to vulnerable populations ? - Answer-
Mobile Health Unit
A health care team approach to care can follow different types of models . Which of the
following models involves providers , hospitals and specialists , who work together to
give quality care specifically to patients who are enrolled in Medicare insurance ? -
Answer- Accountable Care Organizations ( ACOs )
A patient arrives for a scheduled appointment at the specified date and time . Which of
the following team members communicates with the patient to check in and prepare
them to move forward to the exam room ? - Answer- Certified Medical Administrative
Assistant ( CMAA )
When patients sees the members has the process is performed arrive for medical care ,
a before the provider patient . Which of the following team responsibility of taking into
the examination them for the exam ? area and the patient preparing - Answer- Certified
Clinical Medical Assistant ( CCMA )
There are different types of patient health records . Which of the following types
manages patient appointments in a remote app ? - Answer- Mobile software
AND ANSWERS
A Medicare patient presents to the office for medication refills but expresses a financial
barrier. Which of the following Medicare plans might be able to assist the patient with
paying for prescription medications? - Answer- Part D
A provider is reimbursed for services rendered using CPT and ICD - 10 - CM codes.
This is an example of which of the following types of payment models? - Answer- Fee
for - service
A provider is rewarded via a bonus when quality and performance measures are met.
This is an example of which of the following types of payment models? - Answer- Pay -
for - performance
Which of the following patients is considered Medicare eligible? - Answer- A patient
diagnosed with end - stage renal disease
Which of the following is a function of a clearinghouse ? - Answer- Submits claims to the
third - party payer
Which of the following is the set amount established by an insurance payer for an office
visit and should be collected at the time of the encounter ? - Answer- Copay
A medical administrative assistant notices that no payments from a certain third party
payer have been received in the past month . Which type of report should the assistant
review to determine the status of the submitted claims ? - Answer- Insurance aging
report
Which of the following programs will qualify a patient based on income ? - Answer-
Medicaid
Which of the following is a program that is available to a patient who has no income or
has specific medical needs ? - Answer- Special needs plan ( SNP )
A provider is paid a set amount for each member per month . This is an example of
which of the following types of payment models ? - Answer- Capitation
, Which of the following forms is used to report claims to a third - party payer from a
provider's office ? - Answer- CMS - 1500
Which of the following codes are reported on the claim form to represent the conditions
managed at the time of the visit and are required by the third - party payer for claims
processing ? - Answer- ICD - 10 - CM
time to submit claims is known as which of A third - party payer's policy for the length of
the following ? - Answer- Timely filing
A Medicare beneficiary has enrolled in a health plan that offers inpatient , outpatient ,
vision , and dental coverage . In which of the following types of health plan is the
beneficiary enrolled ? - Answer- Medicare Part C
Which of the following is a type of physical safeguard to protect patient medical records
? - Answer- Software that logs access history
Which of the following paper filing systems can be helpful in a multiple - provider
practice ? - Answer- Color
Which of the following is accurate regarding back - up procedures for data storage in a
health care organization ? - Answer- Downtime may be necessary when upgrades or
maintenance occur .
Patients can receive care at many different types of health facilities . Which of the
following delivery models directs its resources to vulnerable populations ? - Answer-
Mobile Health Unit
A health care team approach to care can follow different types of models . Which of the
following models involves providers , hospitals and specialists , who work together to
give quality care specifically to patients who are enrolled in Medicare insurance ? -
Answer- Accountable Care Organizations ( ACOs )
A patient arrives for a scheduled appointment at the specified date and time . Which of
the following team members communicates with the patient to check in and prepare
them to move forward to the exam room ? - Answer- Certified Medical Administrative
Assistant ( CMAA )
When patients sees the members has the process is performed arrive for medical care ,
a before the provider patient . Which of the following team responsibility of taking into
the examination them for the exam ? area and the patient preparing - Answer- Certified
Clinical Medical Assistant ( CCMA )
There are different types of patient health records . Which of the following types
manages patient appointments in a remote app ? - Answer- Mobile software
