Medical Office Procedures & Patient Management Flashcards
7 cards from real CMAS practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Medical Office Procedures & Patient Management flashcards as text
What is the primary purpose of an Encounter Form (Superbill) in a medical office?
Answer: To capture diagnosis codes, procedure codes, and fees for billing purposes
The superbill/encounter form captures the CPT and ICD codes along with charges from each visit, serving as the source document for claim submission.
A new patient calls to schedule an appointment. Which information should the medical administrative specialist collect FIRST?
Answer: Patient's full name, date of birth, and insurance information
Basic demographic and insurance information is needed first to verify eligibility, create the patient record, and confirm network participation.
Which scheduling method is most appropriate for a busy primary care practice that sees many patients with varying appointment lengths?
Answer: Modified wave scheduling
Modified wave scheduling combines the flexibility of wave scheduling with time-specified slots, accommodating varying visit lengths while maintaining flow.
When answering a medical office phone, which greeting format is considered most professional?
Answer: '[Practice name], this is [your name], how may I help you?'
A professional greeting identifies the practice, introduces the staff member, and offers assistance, setting a courteous and competent tone.
What does 'prior authorization' mean in the context of medical office procedures?
Answer: Approval obtained from the insurance payer before a specific service or medication is provided
Prior authorization (pre-auth/pre-certification) is insurer approval secured before rendering certain services, medications, or procedures to confirm coverage.
An established patient's chart note includes the abbreviation 'CC.' What does this stand for in medical documentation?
Answer: Chief Complaint
CC in medical documentation stands for Chief Complaint, which is the patient's primary reason for the visit stated in their own words.
Under OSHA Bloodborne Pathogen Standards, what must a medical office provide at NO cost to employees who may be exposed to blood or other potentially infectious materials (OPIM)?
Answer: Hepatitis B vaccination series
OSHA's Bloodborne Pathogen Standard (29 CFR 1910.1030) requires employers to offer the Hepatitis B vaccine series at no cost to at-risk employees.