CCMA Administrative Duties 5

Question 1

A medical assistant receives a subpoena for a patient's medical records. What is the correct response?

Accepted Answer

Notify the physician and the practice's legal counsel before taking any action

Answer

Immediately send copies of all records to the requesting attorney

Answer

Refuse to release any records since it violates HIPAA

Answer

Ask the patient if they want their records released

Question 2

What is the purpose of an Explanation of Benefits (EOB) document?

Accepted Answer

To explain how an insurance claim was processed and what the patient owes

Answer

To notify the patient of their upcoming appointment details

Answer

To list the medications covered under a patient's plan

Answer

To authorize a patient for a referral to a specialist

Question 3

Which ICD coding system is currently used in the United States for diagnoses on medical claims?

Accepted Answer

ICD-10-CM

Answer

ICD-9-CM

Answer

ICD-11

Answer

DSM-5

Question 4

A patient without insurance asks about the cost of a routine office visit before their appointment. What is the best approach?

Accepted Answer

Provide the self-pay fee schedule and inform them of any payment plan options

Answer

Decline to discuss fees as that is the billing department's role only

Answer

Tell the patient the cost will be determined after the visit

Answer

Suggest the patient go to an urgent care center instead

Question 5

What is the primary purpose of maintaining a 'tickler file' in a medical office?

Accepted Answer

To track follow-up tasks and time-sensitive items that need future attention

Answer

To store patient humor preferences for better rapport

Answer

To file insurance denials that have been appealed

Answer

To log incoming faxes and correspondence by date received

Question 6

When a check is received from an insurance company, what is the proper first step in processing it?

Accepted Answer

Post the payment to the patient's account and reconcile it with the EOB

Answer

Deposit the check immediately into the practice bank account

Answer

Contact the insurance company to confirm the amount is correct

Answer

Apply the payment to the oldest outstanding balance for that patient

Question 7

A medical assistant discovers a coding error that resulted in the practice being overpaid by an insurance company. What should they do?

Accepted Answer

Report the overpayment to the supervisor and return the funds to the insurer

Answer

Keep the overpayment since insurance companies routinely underpay

Answer

Apply the overpayment as a credit toward the patient's future visits

Answer

Wait to see if the insurer requests the money back before taking action