CMAA Certified Medical Administrative Assistant 4

Question 1

When verifying a patient's insurance eligibility before an appointment, which information is LEAST critical to confirm?

Accepted Answer

The patient's preferred pharmacy

Answer

Policy effective dates

Answer

Copay and deductible amounts

Answer

The patient's date of birth

Question 2

Which form is used to transfer financial responsibility for Medicare-covered services from Medicare to a secondary insurer?

Accepted Answer

MSP Questionnaire

Answer

CMS-1450 (UB-04)

Answer

CMS-1500

Answer

ABN (Advance Beneficiary Notice)

Question 3

An 'encounter form' (superbill) in a medical office primarily serves to:

Accepted Answer

Capture diagnosis and procedure codes for billing at the point of care

Answer

Document the patient's consent for treatment

Answer

Record vital signs and chief complaint

Answer

Authorize specialist referrals

Question 4

Under OSHA's Bloodborne Pathogens Standard, all used sharps must be:

Accepted Answer

Placed in a labeled, puncture-resistant sharps container

Answer

Recapped before disposal

Answer

Wrapped in gauze and placed in regular trash

Answer

Returned to the pharmacy for disposal

Question 5

The 'birthday rule' in insurance coordination of benefits determines:

Accepted Answer

Which parent's plan is primary when a child is covered by both

Answer

When a child ages off a parent's plan

Answer

The renewal date of a group health plan

Answer

The deadline for filing a claim

Question 6

Which scheduling system assigns specific appointment time slots to specific types of visits to maximize provider efficiency?

Accepted Answer

Cluster scheduling

Answer

Wave scheduling

Answer

Stream scheduling

Answer

Open-access scheduling

Question 7

A Coordination of Benefits (COB) clause prevents:

Accepted Answer

Double payment exceeding 100% of actual charges

Answer

Patients from changing insurance carriers mid-year

Answer

Providers from balance-billing Medicare patients

Answer

Employees from waiving employer-sponsored coverage