Certified Medical Administrative Assistant (CMAA) Study Guide:

Certified Medical Administrative Assistant (CMAA) Study Guide: Abandonment. Discontinuing medical care without giving the proper notice or providing a competent replacement. Accounts Receivable Ledger Document that provides detailed information about charges, payments, and remaining amounts owed to a provider. Active Files. Medical charts for patients currently receiving treatment. Administrative Services Only contract Abbreviation- A S O: Contract between employers and private insurers. Under which employers fund the plans themselves, and private insurers administer the plans for the employers. Advance Beneficiary Notice of Noncoverage Abbreviation- A B N Form provided to a patient if a provider believes that a service may be declined because Medicare might consider it unnecessary. Advance Directive Form. Document that spells out what kind of treatment a patient wants in the event that he can't speak for himself. Also known as Living Will. Appointment Cards Used to remind patients of scheduled appointments and to eliminate misunderstandings about dates and times or No Shows. Assault and Battery. Willful and unlawful use of intimidation and physical force or violence on another person. Allowable Amount. The limit that most insurance plans put on the amount that will be allowed for reimbursement for a service or procedure Assets The properties owned by a business. Assignment of Benefits Form abbreviation- A O B Form that authorizes health insurance benefits to be sent directly to providers. Audit Trail A report that traces who has accessed electronic information. Benefit Period. Time during which benefits are payable under a given insurance plan. Birthday Rule: The health plan of the parent whose birthday comes first in the calendar year is designated as the primary plan. Blue Cross and Blue Shield plan: The first prepaid plan in the U.S. that offers health insurance to individuals, small businesses, seniors, and large employer groups. Bookkeeping: Part of the office's accounting functions, to include recording, classifying, and summarizing financial transactions. Business associates: Individuals, groups, or organizations, who are not members of a covered entity's workforce, that perform functions or activities on behalf of or for a covered entity. Capitation: The fixed amount a provider receives. Certified mail: First-class mail that also gives the mail added protection by offering insurance, tracking, and return receipt options. CHEDDAR: An organizational approach to keeping medical records: chief complaint, history, examination, details, drugs and dosages, assessment, return visit information. Closed files: Section of medical charts for patients who have died, moved away, or terminated their relationship with the physician. Cluster or Categorization booking: Booking a number of patients who have specific needs together at the same time of day. For example: internal medicine may be reserved for all morning appointments and physical exams in the afternoon. Coinsurance: A form of cost-sharing that kicks in after the deductible has been met. Complimentary closing: The part of a letter that immediately precedes the signature, such as "Very truly yours," or "Sincerely." Consent: A patient's permission. Co-payment: A fixed fee for a service or medication, usually collected at the time of service or purchase. Covered entities: Providers, hospitals, laboratories facilities, nursing homes, rehabilitation facilities, health plans, health care clearinghouses, and those that supply care, services, or supplies to a patient and transmit any health information electronically. Cross‑Reference: Reference to corresponding information in a separate location. Daily Journal. A chronological record of bills received, bills paid, and payments and reimbursements received. Day Sheet: A daily record of financial transactions and services rendered. Deductible: The amount a patient must pay before insurance pays anything. Differential Diagnosis. The process of weighing the probability that other diseases are the cause of the problem. Direct Filing System. System in which the only information needed for filing and retrieval is a patient's name. Disbursement: The record of the funds distributed to specific expense accounts. Divulge: Make private or sensitive information known. DNR Form: Form that states that the patient does not want to be revived after experiencing a heart episode or other kind of life-threatening event. Double‑Booking: Two patients are scheduled to come at the same time to see the same physician. Electronic Data Interchange: Abbreviation- E D I The transfer of electronic information in a standard format. Electronic Health Record- E H R An electronic record of health-related information about a patient that conforms to nationally recognized interoperability standards that can be created, managed, and reviewed by authorized providers and staff from more than one health care organization. Electronic Medical Record- E M R An electronic record of health information that is created, added to, managed, and reviewed by authorized providers and staff within a single health care organization. Emancipated Minor: A person younger than the age of majority (usually 18 to 21 years of age) who is married, in the armed forces, living apart from parents or a guardian, or self-supporting. Employer: Based Insurance. Insurance that is tied to an individual's place of employment. Encounter Form: A document used to collect data about elements of a patient visit that can become part of a patient record or be used for management purposes. Encrypted: Electronic data that has been encoded such that only authorized parties can read it. End of Day Summary: Document consisting of proof of posting sections, month-to-date accounts receivable proof, and year-to-date accounts receivable proof. Eponym: Term formed from a name. equities. What is left of assets after creditors' liabilities have been subtracted. Explanation of Benefits- abbreviation E O B: A record of a patient's fees. Exposure Control Plan: s. Plan that describes tasks employees must perform if there is a risk of exposure to blood or other potentially infectious materials, and what procedures are in place to track employee exposur