CMAA - Certified Medical Administrative Assistant Billing, Coding, and Claims Questions and Answers

Question 1

A patient is seen for a follow-up visit for hypertension.
The provider also performs a simple, in-office urine test.
Which coding manuals should be used to report the diagnosis and services for this encounter?

Accepted Answer

ICD-10-CM and CPT® only

Answer

CPT® and HCPCS Level II only

Answer

ICD-10-CM only

Answer

CPT® only

Question 2

A CMAA is preparing a claim using a CMS-1500 form. In which block should the CMAA enter the diagnosis codes that justify the medical necessity for the services provided?

Accepted Answer

Block 21

Answer

Block 24E

Answer

Block 17

Answer

Block 33a

Question 3

Which of the following is the PRIMARY purpose of 'claim scrubbing' in the medical billing process?

Accepted Answer

To review claims for errors and ensure compliance with payer rules before submission.

Answer

To bundle multiple services under a single code for higher reimbursement.

Answer

To verify patient insurance eligibility and benefits before an appointment.

Answer

To appeal a claim that has been denied by the insurance carrier.

Question 4

A provider performs a procedure that is justified by the patient's documented signs and symptoms and follows accepted standards of medicine. This concept, which is critical for reimbursement, is known as:

Accepted Answer

Medical necessity

Answer

Revenue cycle management

Answer

Informed consent

Answer

Coordination of benefits

Question 5

Which of the following code sets would be used to bill for durable medical equipment (DME), such as a walker or hospital bed, for a Medicare patient?

Accepted Answer

HCPCS Level II

Answer

ICD-10-PCS

Answer

CPT® Category II

Answer

ICD-10-CM

Question 6

A CMAA is working in a provider's office and is responsible for tasks that occur after the patient has been seen and the claim has been submitted. Which of the following activities falls into the post-service phase of the revenue cycle?

Accepted Answer

Posting payments and managing claim denials.

Answer

Verifying the patient's insurance eligibility.

Answer

Collecting the patient's copayment at check-in.

Answer

Scheduling the patient's follow-up appointment.