CMAA (billing & revenue cycle) Exam
Questions & Answers (Grade A+)
Where must a provide initially send an authorization request for a
patient surgery under a Medicare plan -
correct answer ✅Medicare administrative contractor (MAC)
-handles medicare claims Part A & Part B
A patient received a notice from Medicare, indicating that an excess
payment was made due to an error in their billing statement and
Medicare plans to recover the over payment by reducing further
disbursements. What should the medical administrative assistant
advise the patient to do? -
correct answer ✅Do nothing Medicare is allowed to recover the
overpayment
When processing a medical claim for a patient with high deductible
health plan. The patient must reach the deduct before the
insurance covers additional cost (TRUE) OR (FALSE) -
correct answer ✅TRUE
A hospital administrator is incorporating a nutritionist into their
team. How should visit with the nutritionist be billed? -
correct answer ✅The nutritionist must be built separately
,CMAA (billing & revenue cycle) Exam
Questions & Answers (Grade A+)
After reviewing the ICD-10-PCS table for surgical procedures, the
medical assistant notices that the primary diagnosis code R19.7 is
listed in the column one and the procedure code 0DTJ0ZZ is listed in
column 2, with a qualifier of X how should this procedure be coded
for the insurance claim? -
correct answer ✅R19.87, 0DTJ0ZZ-X
Which of the following details are generally excluded from the
patients encounter form used in outpatient clinics -
correct answer ✅ICD-10-PCSCodes
( are designed for inpatient procedure description, which are billed
differently from outpatient services)
In medical administration, which of the following documents is
critical for ensuring the reimbursement of healthcare services
provided to patients? -
correct answer ✅Superbills
(Critical for charge capture)
The CMS-1500 form is primarily used for billing services provided
in_________________________? -
correct answer ✅Outpatient Settings
, CMAA (billing & revenue cycle) Exam
Questions & Answers (Grade A+)
UB-04 form is utilized for billing services in
______________________ hospital settings. -
correct answer ✅Inpatient hospital settings
What type of reimbursement model is used when a healthcare
provider receive a single payment for treating a patient for a
specific condition over a period of time? -
correct answer ✅Episode of care
(involves a single payment for all the healthcare services needed
during an entire care cycle for a specific condition)
A medical assistant receives a notification that a patient's
medication prescription claim was rejected by the pharmacy,
benefits manager due to missing information. How should the
medical assistant proceed? -
correct answer ✅Review the rejection notification to identify the
missing information and provide the necessary details for recent
submission.
When a patient is discharged from a hospital, what document
summarizes the patient's hospitalization and treatment to ensure
Questions & Answers (Grade A+)
Where must a provide initially send an authorization request for a
patient surgery under a Medicare plan -
correct answer ✅Medicare administrative contractor (MAC)
-handles medicare claims Part A & Part B
A patient received a notice from Medicare, indicating that an excess
payment was made due to an error in their billing statement and
Medicare plans to recover the over payment by reducing further
disbursements. What should the medical administrative assistant
advise the patient to do? -
correct answer ✅Do nothing Medicare is allowed to recover the
overpayment
When processing a medical claim for a patient with high deductible
health plan. The patient must reach the deduct before the
insurance covers additional cost (TRUE) OR (FALSE) -
correct answer ✅TRUE
A hospital administrator is incorporating a nutritionist into their
team. How should visit with the nutritionist be billed? -
correct answer ✅The nutritionist must be built separately
,CMAA (billing & revenue cycle) Exam
Questions & Answers (Grade A+)
After reviewing the ICD-10-PCS table for surgical procedures, the
medical assistant notices that the primary diagnosis code R19.7 is
listed in the column one and the procedure code 0DTJ0ZZ is listed in
column 2, with a qualifier of X how should this procedure be coded
for the insurance claim? -
correct answer ✅R19.87, 0DTJ0ZZ-X
Which of the following details are generally excluded from the
patients encounter form used in outpatient clinics -
correct answer ✅ICD-10-PCSCodes
( are designed for inpatient procedure description, which are billed
differently from outpatient services)
In medical administration, which of the following documents is
critical for ensuring the reimbursement of healthcare services
provided to patients? -
correct answer ✅Superbills
(Critical for charge capture)
The CMS-1500 form is primarily used for billing services provided
in_________________________? -
correct answer ✅Outpatient Settings
, CMAA (billing & revenue cycle) Exam
Questions & Answers (Grade A+)
UB-04 form is utilized for billing services in
______________________ hospital settings. -
correct answer ✅Inpatient hospital settings
What type of reimbursement model is used when a healthcare
provider receive a single payment for treating a patient for a
specific condition over a period of time? -
correct answer ✅Episode of care
(involves a single payment for all the healthcare services needed
during an entire care cycle for a specific condition)
A medical assistant receives a notification that a patient's
medication prescription claim was rejected by the pharmacy,
benefits manager due to missing information. How should the
medical assistant proceed? -
correct answer ✅Review the rejection notification to identify the
missing information and provide the necessary details for recent
submission.
When a patient is discharged from a hospital, what document
summarizes the patient's hospitalization and treatment to ensure
