CCMA Practice Test: Video 1 Answers (25 Questions) Flashcards

A patient has both Medicare Part B and a Medigap policy. Which payer is billed first?

Answer: Medicare Part B, as it is the primary payer

Medicare Part B is always the primary payer for Medicare beneficiaries; Medigap pays after Medicare processes the claim.

Which ICD-10-CM code category is used to report external causes of morbidity, such as a patient injured in a car accident?

Answer: V, W, X, Y codes

In ICD-10-CM, V, W, X, and Y codes classify external causes of injury and morbidity.

The Relative Value Unit (RVU) system used in Medicare's RBRVS fee schedule consists of which three components?

Answer: Work, practice expense, and malpractice

RVUs are composed of physician work, practice expense, and malpractice expense components, each adjusted by a geographic factor.

Under HIPAA, which standard transaction set is used for electronic submission of professional healthcare claims?

Answer: ASC X12 837P

The HIPAA 837P transaction is the electronic standard for submitting professional (physician) claims.

A coder assigns CPT code 99213 for an established patient office visit. Which factor is NOT used to determine the level of E/M service?

Answer: The physician's years of experience

E/M level selection is based on medical decision making and time (or key components), not the provider's years of experience.

The suffix '-plasty' means:

Answer: surgical repair or reconstruction

'-plasty' means surgical repair or reconstruction, as in rhinoplasty (nose reshaping) or arthroplasty (joint repair).

The medical term 'tachycardia' means:

Answer: fast heart rate

Tachycardia combines 'tachy-' (fast) and 'cardia' (heart), meaning an abnormally fast heart rate, typically above 100 bpm.

The term 'hematuria' refers to:

Answer: blood in the urine

Hematuria combines 'hemato-' (blood) and '-uria' (urine condition), meaning blood in the urine.

What does the root word 'hepat/o' refer to?

Answer: liver

Hepat/o is the combining form for the liver, as seen in hepatitis (liver inflammation) and hepatomegaly (enlarged liver).

Which prefix means 'below' or 'under'?

Answer: hypo-

Hypo- means below or under, as in hypoglycemia (low blood sugar) or hypodermic (under the skin).

When documenting a patient's chief complaint in the medical record, the MA should:

Answer: Record the patient's own words in quotation marks

The chief complaint should be recorded verbatim in the patient's own words within quotation marks to accurately reflect the patient's perspective.

When assisting a patient with ambulation using a gait belt, the MA should position themselves:

Answer: Behind and slightly to the patient's weaker side

Standing at the patient's weaker side allows the MA to provide support and prevent falls toward the affected side.

A patient states they have not had a bowel movement in 5 days and reports abdominal bloating. The medical assistant should FIRST:

Answer: Document and report the complaint to the provider

The MA must document the symptom and report it to the provider before initiating any intervention.

When measuring urine output as part of intake and output (I&O) monitoring, the medical assistant should record the volume in:

Answer: Milliliters (mL)

Urine output and all fluid measurements in I&O monitoring are documented in milliliters (mL) using a calibrated measuring device.

When applying a warm compress to a patient, what is the maximum recommended temperature to prevent burns?

Answer: 105°F (41°C)

Warm compresses should not exceed 105°F (41°C) to prevent thermal injury to skin tissue.

The PR interval on an EKG normally measures:

Answer: 0.12 to 0.20 seconds

A normal PR interval ranges from 0.12 to 0.20 seconds (3–5 small squares), representing atrial depolarization and AV node conduction delay.

A medical assistant notices the EKG tracing shows a flat, wandering baseline. The MOST likely cause is:

Answer: Patient movement or breathing

A wandering baseline is most commonly caused by patient movement, muscle tremor, or breathing artifact during the recording.

A patient's EKG shows no P waves and an irregularly irregular rhythm. This pattern is MOST consistent with:

Answer: Atrial fibrillation

The absence of distinct P waves combined with an irregularly irregular ventricular rhythm is the hallmark of atrial fibrillation.

Which of the following is the CORRECT placement for lead aVR?

Answer: Right arm electrode is the positive pole

In augmented lead aVR, the right arm electrode serves as the positive pole, and it views the heart from the right shoulder perspective.

On a standard EKG strip, the paper speed in the United States is:

Answer: 25 mm/sec

Standard US EKG paper speed is 25 mm per second, which means each small square represents 0.04 seconds.