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

A subpoena is a legal document that requires a formal response; the physician and legal counsel must be notified to ensure proper compliance procedures are followed.

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

An EOB is sent by the insurance company detailing what was billed, what was allowed, what was paid, and the patient's remaining responsibility.

Question 3

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

Accepted Answer

ICD-10-CM

Answer

The United States mandated the transition to ICD-10-CM for diagnosis coding on October 1, 2015, and it remains the current standard.

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

Providing transparent pricing and payment options helps uninsured patients make informed decisions and improves collections for the practice.

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

A tickler file is a chronological reminder system used to flag tasks, follow-ups, and deadlines that need attention on specific future dates.

CCMA - Certified Clinical Medical Assistant Practice Test

CCMA - Certified Clinical Medical Assistant Practice Test

CCMA Administrative Duties 5