CMAA Comprehensive Review 2

Question 1

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

Accepted Answer

Technical

Answer

User identification and passwords are technical safeguards involving technology-based access controls.

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

Workers' comp claims go to the employer's carrier, not patient insurance. The employee typically has zero out-of-pocket costs.

Question 3

What did MACRA create in healthcare?

Accepted Answer

The Quality Payment Program linking reimbursement to quality metrics

Answer

MACRA created the Quality Payment Program (QPP) tying Medicare reimbursement to quality and value measures.

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

A complete referral includes demographics, insurance/authorization, referral reason, relevant history, test results, and provider contacts.

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

A deductible is the annual threshold before insurance pays; a copayment is a fixed fee at each visit regardless of deductible.

CMAA - Certified Medical Administrative Assistant Practice Test