FREE MEDICAL AND STUDY GAMES ABOUT CMAA EXAM

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FREE MEDICAL AND STUDY GAMES ABOUT CMAA EXAM

QUESTIONS

Actual Qs and Ans Expert-Verified Explanation

This Exam contains:

-Guarantee passing score -209 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation

Question 1: certified clinical medical assistant (CCMA)

Answer:

Trained in both clinical and administrative duties.

Question 2: benefit period

Answer:

Time during which benefits are payable under a given insurance plan.

Question 3: guarantor

Answer:

Person or entity responsible for the remaining payments of services after insurance has paid.

Question 4: revenue cycle

Answer:

A series of administrative functions that are required to capture and collect payment for services provided by a health care organization.

Question 5: assignment of benefits (AOB) form

Answer:

Form that authorizes health insurance benefits to be sent directly to providers.

Question 6: upcoding

Answer:

Assigning a diagnosis or procedure code at a higher level than the documentation supports, such as coding bronchitis as pneumonia.

Question 7: cross-reference

Answer:

Reference to corresponding information in a separate location.

Question 8: nurse practitioner (NP)

Answer:

A registered nurse who possesses additional preparation and skills and is supervised by a physical examination, order and interpret tests, develop treatment plans, and prescribe medications.

Question 9: registered nurse (RN)

Answer:

A health care professional who has been licensed by the state to provide and coordinate patient care.

Question 10: contracts

Answer:

Legally binding agreements between parties.

Question 11: protocols

Answer:

A written plan that specifies criteria to be followed in defined situations.

Question 12: health maintenance organization (HMO)

Answer:

A medical insurance group that provides coverage of health care services for a period of time and a fixed annual fee.

Question 13: covered entities

Answer:

Providers, hospitals, laboratories, facilities, nursing homes, rehabilitation facilities, health plans, health care clearinghouses, and those that supply care, services or supplies to a patient & transmit any protected health information electronically.

Question 14: verification

Answer:

Information validation

Question 15: health history form

Answer:

Form that asks patients to list any illnesses or surgeries they have had, family history, medications taken, chronic health issues, allergies and other physicians they consulted.

Question 16: subsidiary journals

Answer:

A document where transactions are summarized and later recorded in a general ledger.

Question 17: Wave booking

Answer:

Patients are scheduled at the same time each hour to create short-term flexibility each hour. Schedule 2 or 3 patients during a designated hourly time period.

Question 18: non-covered entities

Answer:

Organizations that use, collect, access and disclose individually identifiable health information, but do not transmit electronic data. These do not have to comply with the Privacy Rule.

Question 19: licensed practical nurse (LPN)

Answer:

Provides health management to patients who are sick, injured or need a routine health exam. LPN's are supervised by providers and RN's.

Question 20: time-specified scheduling

Answer:

Scheduling method also referred to as streaming. Set appointment times.

Question 21: single-entry system

Answer:

A method of bookkeeping that relies on a one-sided accounting entry to maintain financial information.

Question 22: malpractice

Answer:

Any treatment by a medical professional that does not follow the standards of care.

Question 23: verbal consent

Answer:

Consent for treatment given out loud in response to a pointed question.

Question 24: remittance advice

Answer:

A response from the payer of claims payment and an explanation of patient responsibility amounts and any adjustments made to the billed amount by the payer.

Question 25: tertiary insurance

Answer:

Insurance coverage in addition to primary and secondary insurance. Tertiary insurance covers gaps in primary and secondary insurance coverage.

Question 26: carved out

Answer:

Medical services that are not included in the contracted capitation rate. These services may be billed separately.

Question 27: interval

Answer:

A period of time between appointments.