NHA CMAA FINAL EXAM QUESTIONS
AND ANSWERS ALL CORRECT
What is the purpose of a clearinghouse in medical billing? - Answer- To review and
transmit claims to payers
When posting patient insurance payments, what document details adjustments and the
patient responsibility? - Answer- Remittance advice
What organization maintains and updates CPT codes? - Answer- AMA
What term describes a fixed amount a patient pays at the time of service? - Answer-
Copayment
A patient is scheduled for a follow-up appointment in 6 months. At which of the following
times should the medical administrative assistant call to remind the patient of the
appointment? - Answer- 1 day before
A medical administrative assistant is performing check-out procedures for a patient. The
patient asks if they owe anything additional for the procedure performed during today's
office visit. Which of the following is the patient's responsibility to pay before their
insurance will pay for the procedure? - Answer- Deductible
A medical administrative assistant is posting Medicare payments. Which of the following
types of notices sent to the patient by the third-party payer refers to how much payment
the provider received for services rendered to the patient and the patient's financial
responsibilities? - Answer- Explanation of benefits
Which of the following is the maximum number of telephone rings by which a medical
administrative assistant should answer an incoming call? - Answer- Three
What tracks outstanding balances owed to the practice? - Answer- Accounts receivable
Which of the following is a charting method that helps to ensure all pertinent information
has been entered into the patient's electronic health record? - Answer- SOAP
A medical administrative assistant is preparing a referral for a patient to see a specialist.
Which of the following utilization review processes should the assistant use to verify the
, maximum amount of reimbursement for consultation services? - Answer-
Predetermination
A medical administrative assistant is creating an encounter form for a patient's
appointment upon check-in. Which of the following information should the assistant
include on the form? - Answer- Medical record number
A medical administrative assistant is preparing the clinic's front desk at the beginning of
the day. Which of the following actions should the assistant take? - Answer- Turn on
office printers
Which of the following divides patient accounts into groups that correspond to the set
time statements will be sent out each month? - Answer- Cycle billing
A medical administrative assistant is explaining the outline of legal and ethical
guidelines for the respectful and courteous treatment of a patient.
Which of the following includes these components? - Answer- Patients bill of rights
A medical administrative assistant is helping a patient who has questions about their
insurance coverage. The patient's insurance allows the patient to see the provider of
their choice and requires 20% payment from the patient after the deductible has been
met. Which of the following types of insurance does the patient have? - Answer-
Indemnity plan
A medical administrative assistant receives notification in the mail that a patient is
deceased. According to HIPAA guidelines, the medical office must maintain the patient's
medical record for how many years? - Answer- 2 years
A medical administrative assistant is preparing to call a patient to schedule a telehealth
appointment. Which of the following should the assistant verify with the patient first? -
Answer- The patients identity
Which of the following is an appropriate action to take when updating patient
demographic information? - Answer- Check that the patient signed and dated the
patient information form.
A medical administrative assistant is reviewing a denied claim that they believe was
denied due to a coding error. Which of the following should the assistant submit? -
Answer- New claim
A medical administrative assistant in an outpatient clinic is preparing to review the billing
codes that describe the reason for seeing a patient and the necessity of any procedures
performed. Which of the following codes should the assistant use? - Answer- ICD-10-
CM
AND ANSWERS ALL CORRECT
What is the purpose of a clearinghouse in medical billing? - Answer- To review and
transmit claims to payers
When posting patient insurance payments, what document details adjustments and the
patient responsibility? - Answer- Remittance advice
What organization maintains and updates CPT codes? - Answer- AMA
What term describes a fixed amount a patient pays at the time of service? - Answer-
Copayment
A patient is scheduled for a follow-up appointment in 6 months. At which of the following
times should the medical administrative assistant call to remind the patient of the
appointment? - Answer- 1 day before
A medical administrative assistant is performing check-out procedures for a patient. The
patient asks if they owe anything additional for the procedure performed during today's
office visit. Which of the following is the patient's responsibility to pay before their
insurance will pay for the procedure? - Answer- Deductible
A medical administrative assistant is posting Medicare payments. Which of the following
types of notices sent to the patient by the third-party payer refers to how much payment
the provider received for services rendered to the patient and the patient's financial
responsibilities? - Answer- Explanation of benefits
Which of the following is the maximum number of telephone rings by which a medical
administrative assistant should answer an incoming call? - Answer- Three
What tracks outstanding balances owed to the practice? - Answer- Accounts receivable
Which of the following is a charting method that helps to ensure all pertinent information
has been entered into the patient's electronic health record? - Answer- SOAP
A medical administrative assistant is preparing a referral for a patient to see a specialist.
Which of the following utilization review processes should the assistant use to verify the
, maximum amount of reimbursement for consultation services? - Answer-
Predetermination
A medical administrative assistant is creating an encounter form for a patient's
appointment upon check-in. Which of the following information should the assistant
include on the form? - Answer- Medical record number
A medical administrative assistant is preparing the clinic's front desk at the beginning of
the day. Which of the following actions should the assistant take? - Answer- Turn on
office printers
Which of the following divides patient accounts into groups that correspond to the set
time statements will be sent out each month? - Answer- Cycle billing
A medical administrative assistant is explaining the outline of legal and ethical
guidelines for the respectful and courteous treatment of a patient.
Which of the following includes these components? - Answer- Patients bill of rights
A medical administrative assistant is helping a patient who has questions about their
insurance coverage. The patient's insurance allows the patient to see the provider of
their choice and requires 20% payment from the patient after the deductible has been
met. Which of the following types of insurance does the patient have? - Answer-
Indemnity plan
A medical administrative assistant receives notification in the mail that a patient is
deceased. According to HIPAA guidelines, the medical office must maintain the patient's
medical record for how many years? - Answer- 2 years
A medical administrative assistant is preparing to call a patient to schedule a telehealth
appointment. Which of the following should the assistant verify with the patient first? -
Answer- The patients identity
Which of the following is an appropriate action to take when updating patient
demographic information? - Answer- Check that the patient signed and dated the
patient information form.
A medical administrative assistant is reviewing a denied claim that they believe was
denied due to a coding error. Which of the following should the assistant submit? -
Answer- New claim
A medical administrative assistant in an outpatient clinic is preparing to review the billing
codes that describe the reason for seeing a patient and the necessity of any procedures
performed. Which of the following codes should the assistant use? - Answer- ICD-10-
CM
