CCMA Administrative Duties 4

Question 1

A patient calls requesting their medical records be sent to a specialist. What is the FIRST step the medical assistant should take?

Accepted Answer

Obtain a signed authorization for release of information from the patient

Answer

HIPAA requires a signed patient authorization before releasing medical records to any third party, including other providers.

Question 2

Which billing form is used to submit claims to Medicare for outpatient and professional services?

Accepted Answer

CMS-1500

Answer

The CMS-1500 form is the standard paper claim form used by non-institutional providers to bill Medicare, Medicaid, and most private payers.

Question 3

A patient's insurance requires prior authorization for an MRI. The physician orders the MRI urgently. What should the medical assistant do?

Accepted Answer

Contact the insurance company to request an expedited prior authorization

Answer

When urgent care is needed, the MA should contact the insurer to request expedited (urgent) prior authorization rather than delaying or skipping the process.

Question 4

What does the term 'accounts receivable' refer to in a medical practice?

Accepted Answer

Money owed to the practice for services already rendered

Answer

Accounts receivable represents the total amount of money owed to the practice by patients and insurance companies for services already provided.

Question 5

A patient arrives 25 minutes late for a 30-minute appointment. What is the best action for the medical assistant to take?

Accepted Answer

Check with the provider to determine if the patient can still be seen

Answer

The provider should decide whether a late patient can still be seen given remaining appointment time and the day's schedule.

CCMA - Certified Clinical Medical Assistant Practice Test

CCMA - Certified Clinical Medical Assistant Practice Test

CCMA Administrative Duties 4