CMAA Comprehensive Review 2

Question 1

Unique usernames and strong passwords in an EHR are which HIPAA Security Rule safeguard?

Accepted Answer

Technical

Answer

Physical

Answer

Administrative

Answer

Organizational

Question 2

How does workers' compensation billing differ from standard insurance?

Accepted Answer

Billed to employer's workers' comp carrier; patient has no copay or deductible

Answer

No difference

Answer

Patient pays and is reimbursed

Answer

Cannot be billed electronically

Question 3

What did MACRA create in healthcare?

Accepted Answer

The Quality Payment Program linking reimbursement to quality metrics

Answer

Free healthcare for over-65

Answer

The original Medicare program

Answer

Only children's insurance

Question 4

What should be included in a specialist referral?

Accepted Answer

Demographics, insurance, clinical reason, relevant history, diagnostic results, and referring provider info

Answer

Only name and insurance

Answer

Just the physician's letter

Answer

Entire medical record from birth

Question 5

What is the difference between a deductible and a copayment?

Accepted Answer

Deductible is annual amount before insurance covers costs; copayment is fixed per-visit fee

Answer

Same thing, different names

Answer

Copayment is always higher

Answer

Deductible only for hospitals; copay for offices

Question 6

A data entry error is found in a billing record after claim submission. What should the CMAA do?

Accepted Answer

Contact the payer/clearinghouse to correct or void, submit corrected claim, document the error

Answer

Ignore it since the claim was sent

Answer

Wait for denial then fix

Answer

Delete entire billing record