CCMA National Exam 2023 Solved 100%

What is the most important role of the Medical Assistant? - ANSWER-Patient Education Threatening a person with bodily harm is considered: - ANSWER-Assault Unconsented physical contact with another person is considered: - ANSWER-Battery What is the medical term for painful menstrual periods? - ANSWER-Dysmenorrhea Of the following which is a medical assistant not allowed to perform? - ANSWER-ABG Entering a patients room without knocking or having permission is an example of: - ANSWER-Invasion of Privacy Deception with the intent to deprive another person of his/her rights: - ANSWER-Fraud What is the negligent delivery of professional services? - ANSWER-Malpractice What is the failure to do something that a reasonably prudent individual would do under similar circumstance? - ANSWER-Negligence What should an MA do if they suspect spousal abuse? - ANSWER-Provide a brochure or list of organizations that can assist the patient While working at an pediatric office you suspect abuse with one of your patients, what should you do? - ANSWER-report to provider A civil wrong committed against a person or property: - ANSWER-Tort Refers to the chronological documentation or paper trail of a specimen. - ANSWER-Chain of Custody What organization sets quality standards and issues certificates for human clinical laboratories? - ANSWER-CLIA What does the acronym CLIA stand for? - ANSWER-Clinical Laboratory Improvement Amendments What law protects the privacy of a patient's medical record? - ANSWER-HIPAA What is the organization that regulates healthcare facilities? - ANSWER-The Joint Commission What does OSHA stand for? - ANSWER-Occupational Safety and Health Administration What federal agency overseas and regulates safety in the work place and provides training without cost? - ANSWER-OSHA What is the most important component of patient safety? - ANSWER-Correctly identifying the patient A patient extending his/her arm for phlebotomy or undressing for a physical exam is considered: - ANSWER-Implied Consent Explaining to the patient the risks, benefits, possible outcomes and alternative therapies is a form of: - ANSWER-Informed Consent Obtaining a patient's signature to perform a procedure is called: - ANSWER-Written Consent A list of guarantees for those receiving medical care, including fair treatment and autonomy over medical decisions: - ANSWER-Patients' Bill of Rights What does POMR stand for? - ANSWER-Problem Oriented Medical Record Which record should always be filed in chronological order? - ANSWER-POMR The information contained within the medical record belongs to: - ANSWER-The patient Who owns the physical form containing the patient's information? - ANSWER-the author or provider What does CMS stand for? - ANSWER-Centers for Medicare and Medicaid Services What is the standard claims form used by health care professionals to request reimbursement for services rendered? - ANSWER-CMS-1500 Also known as a Superbill, an itemized form of services submitted to insurance companies for reimbursement: - ANSWER-An encounter form This document allows patients access to their own medical records and allows release of those records to other providers and individuals. - ANSWER-Release of Information Form What organization manages providers, hospitals, and other health care entities who have agreed with an insurer or third party to provide health care at reduced rates? - ANSWER-PPO What Federal program provides heath insurance for those with limited income and resources? - ANSWER-Medicaid This Federal health insurance program provides insurance for those aged 65 or older, certain people with disabilities, and those with ESRD. - ANSWER-Medicare What is the healthcare plan for military personnel and their dependents to receive care from civilian providers at the expense of the Federal government? - ANSWER-Tricare Wage replacement and medical benefits for those injured on the job is: - ANSWER-Workers' Compensation What does ABN stand for? - ANSWER-Advanced Beneficiary Notice This document is a notice the provider gives the patient before services are provided if, based on Medicare coverage rules, the provider has reason to believe Medicare will not pay for the service: - ANSWER-ABN An insurance payment structure in which the insured pays a share of the payment made against a claim, always written as a fraction for which the insurer pays the top number and the patient pays the bottom number, e.g. 80/20. - ANSWER-Coinsurance A part of insurance for which the patient pays a fee at the time of service: - ANSWER-Copay A specified amount of money that the insured must pay before an insurance company will pay a claim: - ANSWER-Deductible What does EOB stand for? - ANSWER-Explanation of Benefits A statement detailing which services were paid, denied, or reduced by the patient's insurance company: - ANSWER-EOB Prior approval for treatment and procedures is called: - ANSWER-Preauthorization What is the process required by some insurance carriers in which the provider must prove medical necessity before performing a procedure? - ANSWER-Precertification When a provider sends a patient to another provider for specific care, what is this process called? - ANSWER-A referral This process confirms how a patient or their insurance provider will pay for services: - ANSWER-Verification of Eligibility What term in ICD-10 coding indicates that one procedure was used multiple times on a patient? - ANSWER-Modifier What does the acronym CPT mean? - ANSWER-Current Procedural Terminology