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

Work-related injuries are covered by workers' compensation, which is primary over personal health insurance.

Question 2

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

Accepted Answer

ICD-10-CM

Answer

ICD-10-CM has been mandated for diagnosis coding in the US since October 1, 2015.

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

Prior authorization is an insurer's advance approval that a specific service or medication is medically necessary and covered.

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

HIPAA authorization forms require specific elements but do not mandate inclusion of the patient's Social Security Number.

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

Billing errors must be reported to the appropriate supervisor and corrected with proper documentation to maintain compliance.

CMAA - Certified Medical Administrative Assistant Practice Test