CMAA Certified Medical Administrative Assistant MCQ 2

Question 1

How should a prescription refill request received by phone be handled?

Accepted Answer

Document completely, forward to clinical staff for authorization, follow up with patient

Answer

Document all details, forward to the appropriate clinical staff for review, and follow up with the patient on the decision.

Question 2

Why is maintaining accurate patient demographic information important?

Accepted Answer

Essential for proper billing, claims processing, communication, and care coordination

Answer

Accurate demographics are critical for successful claims, effective communication, patient identification, and coordinated care.

Question 3

Which regulation requires emergency medical screening for all ER patients?

Accepted Answer

EMTALA

Answer

EMTALA requires Medicare-participating hospitals to provide medical screening and stabilization to all ER patients regardless of payment ability.

Question 4

What is the primary purpose of a compliance officer?

Accepted Answer

Oversee adherence to healthcare regulations and implement corrective measures

Answer

The compliance officer develops and manages the compliance program, ensures regulatory adherence, conducts audits, and implements corrective actions.

Question 5

A claim is denied for 'lack of medical necessity.' What should the CMAA do?

Accepted Answer

Review denial, gather supporting documentation, and file an appeal

Answer

Review the denial reason, work with clinical team for supporting documentation, and file a formal appeal within the payer's deadline.

CMAA - Certified Medical Administrative Assistant Practice Test