Medical Office Administrative Procedures Flashcards
6 cards from real NHA practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Medical Office Administrative Procedures flashcards as text
An office schedules three patients to arrive at the top of the hour and then sees them based on their arrival time. This is known as:
Answer: Wave scheduling
Wave scheduling involves scheduling several patients for the same time slot, usually at the beginning of the hour. Patients are then seen on a first-come, first-served basis, which helps accommodate no-shows and late arrivals.
According to HIPAA guidelines, which of the following is a potential violation of patient privacy?
Answer: Discussing a patient's case in the hallway
Discussing a patient's health information in a public area like a hallway, where it can be overheard by unauthorized individuals, is a violation of HIPAA. Patient information should only be discussed in private and secure locations.
Which coding system is used to report a patient's diagnosis or condition?
Answer: ICD-10-CM
The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) is the system used to code all diagnoses, symptoms, and conditions. These codes establish medical necessity for the services provided.
When a medical assistant is checking in a new patient, which of the following tasks is most important?
Answer: Obtaining complete demographic and insurance information
For a new patient, obtaining accurate demographic and insurance information is crucial. This information is used to create the patient's medical record, verify insurance eligibility, and ensure proper billing.
What is the purpose of an Advance Beneficiary Notice (ABN)?
Answer: To inform a Medicare patient they may be financially responsible for a service
An ABN is a form given to a Medicare beneficiary when a provider believes a service may not be covered by Medicare. By signing it, the patient acknowledges that they will be financially responsible for the service if Medicare denies the claim.
A patient calls to cancel an appointment. What is the first action the medical assistant should take?
Answer: Immediately update the appointment schedule
The first and most important action is to immediately update the appointment schedule to reflect the cancellation. This opens the slot for another patient and prevents confusion or wasted time for the provider.