CMAA CMAA Comprehensive Review 3

Question 1

A patient calls requesting a refill on a controlled substance. The medical administrative assistant should:

Accepted Answer

Direct the patient to schedule an appointment with the provider

Answer

Refill it immediately and document later

Answer

Contact the pharmacy directly to authorize the refill

Answer

Advise the patient to obtain the medication from an urgent care

Question 2

Which form is used by Medicare patients to acknowledge they understand a service may not be covered?

Accepted Answer

Advance Beneficiary Notice (ABN)

Answer

CMS-1500

Answer

HIPAA Authorization Form

Answer

Assignment of Benefits Form

Question 3

In medical billing, 'clean claim' refers to a claim that:

Accepted Answer

Contains no errors and can be processed without additional information

Answer

Has been paid in full

Answer

Has passed an audit review

Answer

Was submitted within 24 hours of service

Question 4

Which of the following best describes the role of a medical administrative assistant regarding medication administration?

Accepted Answer

They do not administer medications unless specifically licensed to do so

Answer

They may administer oral medications with provider supervision

Answer

They can administer vaccines if trained

Answer

They may dispense sample medications to patients

Question 5

What does the abbreviation 'EOB' stand for in healthcare billing?

Accepted Answer

Explanation of Benefits

Answer

End of Benefits

Answer

Evidence of Billing

Answer

Estimate of Balance

Question 6

A patient presents with a Medicare card and a secondary insurance card. Which insurance should be billed first?

Accepted Answer

Medicare

Answer

Secondary insurance

Answer

Whichever has a lower deductible

Answer

The insurance with the most recent effective date

Question 7

The process of verifying a patient's insurance eligibility before a visit is important primarily to:

Accepted Answer

Avoid billing denials and inform patients of their financial responsibility

Answer

Determine the diagnosis code to use

Answer

Select the correct CPT codes

Answer

Calculate the provider's reimbursement rate