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CMAA Practice Test - ALL Ch.'s questions with verified answers

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CMAA Practice Test - ALL Ch.'s questions with verified answers

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CMAA Practice Test - ALL Ch.'s

A CMAA is reviewing remittance advice to determine how claims have been paid and to see if any errors
have been made by the third-party payer. This action occurs in which of the following phases of the
revenue cycle?



A. Receiving and posting reimbursement

B. Payer adjudication

C. Appeals and claims collections

D. Health care encounter and documentation - correct answer ✔✔A. Receiving and posting
reimbursement



What stage is the revenue cycle considered to be completed?



A. Registration and scheduling

B. Payer adjudication

C. Health care encounter and documentation

D. Posting the payment - correct answer ✔✔D. Posting the payment



A CMAA is checking with a patient's insurance payer to determine if a referral or preauthorization is
needed prior to performing an MRI. This action occurs in which of the following phases of the revenue
cycle?



A. Payer adjudication

B. Appeals and claims collection

C. Charge capture and coding

D. Utilization management review - correct answer ✔✔D. Utilization management review



A CMAA is contacting the insurance payer to determine benefits coverage for a procedure and is
requesting approval. Which of the following steps of the revenue cycle is being performed?

,A. Appeal

B. Payer adjudication

C. Eligibility and insurance preauthorization

D. Encounter documentation - correct answer ✔✔C. Eligibility and insurance preauthorization



Which of the following items is required in the encounter note?



A. Provider signature

B. Copay amount

C. Provider's phone number

D. Patient address - correct answer ✔✔A. Provider signature



How often should a medical administrative assistant perform charge reconciliation?



A. Yearly

B. Monthly

C. Daily

D. Weekly - correct answer ✔✔C. Daily



A CMAA notices a difference between the billed and allowed amount. Which of the following type of
transaction must be posted in the patient account?



A. Hardship write-off

B. Contractual adjustment

C. Payment posting

D. Charge entry - correct answer ✔✔B. Contractual adjustment

, A electronic health record (EHR) system assists health care organizations with which of the following
tasks?



A. Provider documentation

B. Interviewing and hiring new staff

C. Ordering of supplies

D. Attracting new patients - correct answer ✔✔A. Provider documentation



Which of the following payer is designed for military members and their family?



A. TRICARE

B. Medicare

C. Medicaid

D. Worker's compensation - correct answer ✔✔A. TRICARE



A provider agrees to accept the payer's allowed amount. What is the provider's status?



A. Non-participating provider

B. Eligible

C. Participating provider

D. Value-based - correct answer ✔✔C. Participating provider



A fee-for-service Medicare patient arrives at a provider's office for medical services related to otitis
media. Which of the following parts of Medicare should be billed?



A. Part A

B. Part B

C. Part C

D. Part D - correct answer ✔✔B. Part B

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