CMAA Certified Medical Administrative Assistant MCQ 4

Question 1

A patient presents with a broken arm sustained at work. Which category of insurance would be the primary payer?

Accepted Answer

Workers' compensation insurance

Answer

The patient's personal health insurance

Answer

Medicare

Answer

Medicaid

Question 2

Which ICD coding system is currently required for diagnosis coding in the United States?

Accepted Answer

ICD-10-CM

Answer

ICD-9-CM

Answer

ICD-11-CM

Answer

DSM-5

Question 3

What is the purpose of a prior authorization (pre-authorization) in healthcare?

Accepted Answer

To get insurance approval before performing certain services or procedures

Answer

To obtain the patient's consent for treatment

Answer

To verify that the patient has paid their co-pay

Answer

To confirm that the referring physician is in-network

Question 4

When a patient signs a release of information form, which element is NOT typically required for it to be valid under HIPAA?

Accepted Answer

The patient's Social Security Number

Answer

The name of the person or entity receiving the information

Answer

The purpose for the disclosure

Answer

An expiration date or event

Question 5

A medical administrative assistant discovers a billing error where a patient was overcharged. What is the correct next step?

Accepted Answer

Document the error and notify the billing supervisor or practice manager immediately

Answer

Ignore the error if it was already paid by insurance

Answer

Refund the patient without telling the provider

Answer

Adjust the charge in the system without creating a paper trail

Question 6

Which of the following best describes 'upcoding' in medical billing?

Accepted Answer

Billing for a higher-level service than was actually performed

Answer

Using the most specific diagnosis code available

Answer

Assigning multiple CPT codes for a complex procedure

Answer

Reporting a code that was bundled into another service

Question 7

What does the acronym SOAP stand for in clinical documentation?

Accepted Answer

Subjective, Objective, Assessment, Plan

Answer

Summary, Objective, Assessment, Plan

Answer

Subjective, Observations, Analysis, Prescriptions

Answer

Symptoms, Observations, Assessments, Procedures