CMAA - Certified Medical Administrative Assistant Medical Records Management Questions and Answers

Question 1

A CMAA is filing a patient chart with the medical record number 45-82-16 using a terminal digit filing system. In which primary section should the chart be placed?

Accepted Answer

In the primary section labeled 16

Answer

In the section for charts beginning with 45

Answer

Chronologically after the last chart filed

Answer

In the secondary section labeled 82

Question 2

Which of the following is the proper procedure for correcting an error in a patient's paper medical record?

Accepted Answer

Draw a single line through the incorrect entry, write "corr." or "error," add the correct information, and then initial and date the change.

Answer

Completely obscure the error using correction fluid and write the correct information on top.

Answer

Remove the page containing the error and replace it with a new, corrected page.

Answer

Use a black marker to completely cover the incorrect entry and write the correction in the margin.

Question 3

A medical office in a state that requires medical records to be kept for 7 years last saw an adult patient covered by Medicare 8 years ago. According to Medicare's Conditions of Participation, their records must be retained for 10 years. What is the appropriate action?

Accepted Answer

Keep the record for a total of 10 years to comply with the more stringent federal regulation.

Answer

Shred the record, as the 7-year state requirement has been met.

Answer

Ask the patient if they want a copy before shredding the record.

Answer

Keep the record indefinitely to be safe.

Question 4

What is the primary distinction between an Electronic Medical Record (EMR) and an Electronic Health Record (EHR)?

Accepted Answer

An EHR is designed for interoperability and sharing information across different healthcare organizations, while an EMR is typically a digital record for a single practice.

Answer

An EMR is for clinical notes, while an EHR is strictly for billing and demographics.

Answer

EMR systems are used only in hospitals, and EHR systems are used only in outpatient clinics.

Answer

There is no significant difference; the terms are legally and functionally interchangeable.

Question 5

A patient's complaint of a persistent cough and sore throat would be documented in which section of a SOAP note?

Accepted Answer

S - Subjective

Answer

O - Objective

Answer

A - Assessment

Answer

P - Plan

Question 6

For a HIPAA authorization form to be valid for the release of medical information, which of the following elements is required?

Accepted Answer

An expiration date or a specific event that triggers expiration.

Answer

The patient's preferred contact method.

Answer

The signature of the receiving provider.

Answer

A complete list of the patient's allergies.