1.
Which of the following terms means "pain?"
Correct Answer
A. Dynia
Explanation
thrombo- clot, phlebo- vein, itis- inflammation
2.
What would you tell a patient that doesn't want to go to a lab that is in their network?
Correct Answer
A. Tell them that they can go to another lab, but that their out-of-pocket expenses may be higher
Explanation
Patients are not locked into in-network providers; however, the insurance company may not cover their care if they choose an out-of-network provider & the patient will have to pay more our-of-pocket. A provider's office can receive transmissions from any lab or referring provider.
3.
What should you do with CBC results that have just come in?
Correct Answer
C. Attach them to the front of the chart
Explanation
CBC stands for complete blood count & are lab results showing the numbers of red blood cells, white blood cells & platelets. This information may show that a patient is anemic or has an infection. The doctor needs to see & sign off on these results before they can be filed. However, you would not interrupt a provider to sign them. Attaching them to the front of the chart is the best way to ensure that the provider sees the results.
4.
To which of the following specialists would a patient with lung cancer be referred?
Correct Answer
B. Oncologist
Explanation
Cardiologist- treats diseases of the heart, Gynecologist- treats the female reproductive system, Endocrinologist- treats diseases of the endocrine system (which includes the following organs: pituitary, pineal, thyroid, thymus, pancreas, adrenals, testes, & ovaries) Oncologists treat patients who have cancer.
5.
Which of the following types of government insurance coverage varies widely by state?
Correct Answer
B. Medicaid
Explanation
Medicaid is administered by the individual states and therefore each state sets its own requirements. Medicare, TRICARE & CHAMPVA are administered nationally.
6.
Which of the following systems is a calendar-based system for reminders?
Correct Answer
D. Tickler
Explanation
Tickler filing is a chronological type of filing system that can be used to set reminders.
7.
When the burden of proof shifts to the doctor, which of the following legal doctrines is being demonstrated?
Correct Answer
B. Res ipsa Loquitor
Explanation
Respondeat superior- the employer is responsible for the actions of the employee, Malpractice- a doctor failed to use the degree of knowledge or skill that is expected on a person in their profession, Assault- a threat or attempt to injure. Res ipsa loquitor shifts the burden of proof onto the physician.
8.
A patient calls a multi-specialty practice for an appointment for a thyroid function panel. With which doctor should the MAA schedule the appointment?
Correct Answer
A. Endocrinologist
Explanation
Oncologist- treats patients who have cancer, Cardiologist- treats patients with diseases of the heart, Neurologist- treats patients with neurological (nerves/ brain) disorders. Endocrinologist- treats people with diseases of the endocrine system (Pituitary, Pineal, THYROID, Thymus, Adrenals, Pancreas, Ovaries & Testes)
9.
Which of the following symptoms means that something is "excessive or high?"
Correct Answer
C. Hyper
Explanation
Hypo- low, Brady- slow, Oligo- Scant/ little. Hyper- excessive or above normal
10.
When identifying a patient that has the same name (first & last) as another patient, what should you check?
Correct Answer
C. Date of Birth
Explanation
Patient name & Date of Birth are the two identifiers that are used
11.
When would you give a patient an ABN?
Correct Answer
B. When Medicare may not pay for a proposed procedure
Explanation
If the procedure was pre-authorized or pre-certified by the payer, you wouldn't need an ABN, Electronic Remittance Advice comes to the office after the payer has reimbursed the claim explaining what was covered, The Assignment of Benefit form allows the provider to bill the insurance company directly. ABN stands for Advance Beneficiary Notice & it is given to a patient when we expect that the insurance company is not going to cover a procedure that we would like to perform.
12.
According to the CPT, a "new" patient for the purposes of E/M codes is one that "has not received any professional services from the physician or another physician of the same specialty who belongs to the same group practice within the past _____________ years."
Correct Answer
A. 3
Explanation
According to the CPT manual, a patient is considered to be a "new patient" for billing purposes (Evaluation/ Management codes) if they have not been seen in 3 years.
13.
OSHA allows the emergency evacuation plan to be communicated orally unless you have more than ___________ employees.
Correct Answer
B. 10
Explanation
Any employer with more than 10 employees is required to have their emergency evacuation plan in writing.
14.
Which of the following is a type of insurance plan?
Correct Answer
D. BCBS
Explanation
OSHA & CLIA are governmental regulatory agencies & the BBC stands for the British Broadcasting Corporation. BCBS stands for Blue Cross Blue Shield.
15.
What part of the CMS- 1500 form identifies the payer?
Correct Answer
A. Part 1
Explanation
Section 21 identifies the diagnostic codes, Part 24 identifies the procedure codes, NPI is the national provider identifier is a unique identification number for covered healthcare providers that is required per HIPAA. Section 1 of the CMS- 1500 has boxes for Medicare, Medicaid, TRICARE/ CHAMPVA, Group health plan, FECA or Other.
16.
Which of the following medical terms would you use to describe blood in the urine?
Correct Answer
B. Hematuria
Explanation
Polyuria- one of the classic symptoms of diabetes, meaning excessive urination, oliguria- means scanty or diminished urine production, and anuria- means absence of urine production. Hem- means blood, therefore hematuria means blood in the urine.
17.
A physician is sued after their employee accidentally sent out pHI in violation of HIPAA. What legal term describes this action?
Correct Answer
D. Respondeat Superior
Explanation
Res ipsa loquitor- shifts the burden of proof to the physician, malpractice- the practitioner failed to use the degree of knowledge or skill that is expected of someone in their profession, Libel- written defamation (false statements about a patient). Respondeat superior- the employer is responsible for the actions of the employee.
18.
You are rescheduling a patient that has canceled their appointment. This patient has canceled multiple times before, but there isn't any notation of that in the chart. What should you do?
Correct Answer
C. Amend the patient's chart
Explanation
The doctor or office manager would have to make the decision to withdraw care or stop scheduling a patient. A history of cancellations is important to note in the chart as it can support claims that the patient was noncompliant & support withdrawal of care. You would want to amend the chart to show the no shows/cancellations if you have proof that the patient did not come to the office (in the schedule)
19.
A patient uses an FSA to pay for their care. How would you notate this in the account?
Correct Answer
A. As a credit
Explanation
A debit- a charge, an adjustment- a discount, a professional courtesy- discount for other healthcare providers. A credit is a payment.
20.
A patient has a UTI, what is wrong with them?
Correct Answer
B. Urinary tract infection
Explanation
The correct answer is "Urinary tract infection." A urinary tract infection (UTI) is an infection that occurs in any part of the urinary system, including the bladder, urethra, kidneys, and ureters. It is caused by bacteria entering the urinary tract and can cause symptoms such as frequent urination, pain or burning during urination, cloudy or bloody urine, and lower abdominal pain. Treatment typically involves antibiotics to clear the infection.
21.
Which of the following two standards are part of OSHA?
Correct Answer
A. The Occupational Exposure to Hazardous Chemicals Standard & The Bloodborne Pathogen Standard
Explanation
The correct answer is The Occupational Exposure to Hazardous Chemicals Standard and The Bloodborne Pathogen Standard. These two standards are part of OSHA (Occupational Safety and Health Administration) regulations. The Occupational Exposure to Hazardous Chemicals Standard ensures that employees are protected from the dangers of hazardous chemicals in the workplace. The Bloodborne Pathogen Standard focuses on protecting workers from exposure to bloodborne pathogens, such as HIV and hepatitis, and requires employers to implement safety measures to prevent transmission. Both of these standards are important for maintaining a safe and healthy work environment.
22.
What part of Medicare is used to pay for physician services like doctors' visits?
Correct Answer
B. Part B
Explanation
Part A is for hospital services, Part C is provided by private companies & enables beneficiaries to select a managed care plan as their primary coverage, Part D provides coverage for both generic & brand name drugs. Part B is for (non-hospital) medical expenses like office visits, X-ray & laboratory tests.
23.
Which type of plan requires that the patient see a "gatekeeper?"
Correct Answer
A. HMO
Explanation
HMOs (Health Maintenance Organizations) require a member to choose a PCP (Primary care provider) to oversee their medical care. If the patient wants to see a specialist, they must first see their PCP to write a referral or their care with the specialist will not be covered. This is why the PCP is called a gatekeeper in the HMO.
24.
What is the purpose of the CMS- 1450 form?
Correct Answer
A. Form used to submit claims for institutional providers such as hospitals
Explanation
CMS- 1500 is the health insurance claim form for non-institutional providers like a family doctor or specialist. The Assignment of Benefit form allows the office to bill the insurance company (payer) directly. The Advance Beneficiary Notice is given to a patient when the proposed procedure will likely not be covered by the insurance company. The Electronic Remittance Advice is sent to the office from the insurance company to explain what services/procedures were reimbursed.
25.
Which of the following words refers to an opening that is cut into the small intestine?
Correct Answer
C. Ileostomy
Explanation
Colo- colon or large intestine, Ectomy- to cut out and remove, Entero- intestines, Ileo- last segment of the small intestine, Ostomy- creating an artificial opening
26.
What does Rx mean?
Correct Answer
D. Prescription
Explanation
Treatment- Tx, Diagnosis- Dx
27.
How often must OSHA training be renewed?
Correct Answer
A. Annually
Explanation
OSHA training must be renewed annually to ensure that employees are up to date with the latest safety regulations and procedures. This regular renewal helps to reinforce the knowledge and skills necessary to maintain a safe working environment and prevent accidents or injuries. By requiring annual training, OSHA aims to promote ongoing awareness and compliance with safety standards in the workplace.
28.
Which of the following would represent a modified wave schedule?
Correct Answer
B. 2 patients in at the top of the hour & one patient in 30 minutes later
Explanation
With modified wave scheduling, a few patients are scheduled a together as with the traditional wave; however, unlike the wive which leaves the rest of the hour open for walk ins, emergencies, completing the patients that came in during the initial wave or administrative tasks, the modified wave brings in another patient (or two) in about 30 minutes later (within the initial hour) to prevent too much down time.
29.
What should you look for before you file a laboratory result?
Correct Answer
C. That the pHysician has signed the lab report
Explanation
The physician will sign the lab report when he/she has read it. Whether it is normal is irrelevant for you when filing as is the patient's address. A follow up visit may not be indicated by the result. You need to be sure that the physician has seen the result.
30.
What information would you find on both the CMS-1500 form & the encounter form?
Correct Answer
D. Patient status
Explanation
Patient status refers to discharge (discharged to home, to hospital, inpatient, outpatient)
31.
Which of the following medical terms means to remove fluid (via aspiration) from the space between the lungs & chest wall?
Correct Answer
C. Thoracentesis
Explanation
amnio- refers to the amniotic fluid surrounding the fetus during pregnancy, thorac- thorax or chest, trachea- trachea (the tube that extends from the pharynx into the lungs, ostomy- cutting, centesis- drawing out fluid with a needle
32.
Which of the following diagnostic tests would be done to look at the electrical activity of the brain?
Correct Answer
D. EEG
Explanation
EKG & ECG - Electrocardiogram, studies the electrical activity of the heart, CBC- Complete Blood Count (blood test looking at numbers of blood cells/ formed elements) EEG- Electro/ encephalo/ gram Study of the electrical activity of the brain (encephalo)
33.
What should the CMAA do when scheduling a habitually late patient?
Correct Answer
B. Schedule them for extended time
Explanation
The doctor would have to initiate a withdrawal of care, we never lie to our patients, and telling them to just show up as a walk in would only make the schedule worse. The only appropriate action is to schedule them for a slightly extended amount of time.
34.
What function of word processing software allows us to create personalized letters & pre-addressed envelopes or mailing labels for mass mailings from a form letter?
Correct Answer
B. Mail merge
Explanation
Mail merge is the correct answer because it is a function in word processing software that allows users to create personalized letters and pre-addressed envelopes or mailing labels for mass mailings. With mail merge, users can merge a form letter with a data source, such as a spreadsheet or a database, to automatically populate the letter with personalized information for each recipient. This feature is commonly used for creating bulk mailings, such as newsletters, invitations, or marketing materials.
35.
What software would you use to create an inventory document?
Correct Answer
C. Spreadsheet
Explanation
A spreadsheet is the most suitable software for creating an inventory document. Spreadsheets allow users to organize and manipulate data in a tabular format, making it easy to manage and track inventory items. With features like formulas, sorting, and filtering, a spreadsheet can calculate totals, generate reports, and provide real-time updates. Additionally, spreadsheets offer customizable templates specifically designed for inventory management, making it a practical choice for creating an inventory document.
36.
Which of the following scenarios represents a wave schedule?
Correct Answer
A. 3 patients scheduled in at one time
Explanation
Single booking- one patient at a time, Modified wave- wave plus additional patient before the end of the hour, double booking- scheduling 2 patients in at the same time
37.
Which of the following treatments describes the removal of the gallbladder?
Correct Answer
C. Cholecystectomy
Explanation
Colectomy- removal of the colon, Ileostomy- creating an artificial opening into the ileum (final segment of the small intestine), Chole (bile) cyst (bladder) ectomy (removal)
38.
Who sets the fee schedule?
Correct Answer
D. The pHysician
Explanation
The provider or physician sets the fee schedule based on the RBRVS (Resource-based relative value scale)
39.
You are trying to schedule a meeting for next month at 3:00.What is the first thing you should do?
Correct Answer
A. Call patients that are scheduled for 3pm & reschedule them
Explanation
The first thing you should do when trying to schedule a meeting for next month at 3:00 is to call patients that are already scheduled for 3pm and reschedule them. This ensures that there are no conflicts with existing appointments and allows you to free up the time slot for the meeting.
40.
A patient has requested that they see their medical record. What would you need to do?
Correct Answer
C. Schedule a time for the patient to review the medical record with the provider
Explanation
The patient owns the information contained within their medical record, they do not however own the chart itself. That belongs to the practice. You would never give them the original. Making a copy is fine, however if you give them a copy & send them on their way, they may misunderstand what they read & could make healthcare decisions based on that misunderstanding. You must have them read over their medical record in the presence of the physician who can explain what medical terminology & test results mean.