RMA Exam Administrative Medical Assisting
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1. The physician informs the medical assis- b. send a letter of formal withdrawal to the pa-
tant that they will no longer treat a pa- tient by certified mail, return receipt requested.
tient who refuses to follow their medical
advice and treatment plan. The proce- A physician who terminates care of a patient
dure that the medical assistant should must do so in a formal, legal manner, following
follow is to: these four steps:
· Write a letter to the patient expressing the
a. refer the patient to another physician reason for withdrawing from the case and rec-
the next time an appointment is request- ommending that the patient seek medical care
ed. from another physician as soon as possible.
b. send a letter of formal withdrawal to · Send the letter by certified mail with a return
the patient by certified mail, return re- receipt requested.
ceipt requested. · Place a copy of the letter (and the return re-
c. send the original medical records to ceipt, when received) in the patient's medical
the patient. record.
d. telephone the patient to explain the · Summarize in the patient record the physician's
situation. reason for terminating care and the actions tak-
en to inform the patient.
2. If a caring family member asks about c. provide information that has been authorized
a patient's treatment, the medical assis- by the patient.
tant should:
The core of the HIPAA Privacy Rule is the pro-
a. assure the relative that the patient will tection, use, and disclosure of protected health
be fine. information (PHI). PHI can come in any form
b. ignore the relative and walk away. or medium, such as electronic, paper, or oral,
c. provide information that has been au- including verbal communications among staff
thorized by the patient. members, patients, and other providers.
d. share all information with the relative.
3. A letter or statement from the insur- b. Explanation of benefits (EOB).
ance carrier describing what was paid,
, RMA Exam Administrative Medical Assisting
Study online at https://quizlet.com/_ewqxrn
denied, or reduced in payment. It also Explanation of benefits (EOB) is a document
contains information about amounts ap- sent by an insurance carrier when payment is
plied to the deductible, the patient's made describing the terms of the payments.
co-insurance, and the allowed amounts.
a. Assignment of benefits (AOB)
b. Explanation of benefits (EOB)
c. Participating provider (PAR)
d. Third-party administrator (TPA)
4. Under this doctrine, physicians are legal- c. Respondeat superior.
ly responsible for the acts of their em-
ployees when they are acting within the Respondeat superior is a Latin phrase meaning
scope of their duties or employment: "let the higher-up answer"—that is, that the
physician is responsible for employee acts.
a. Patient's Bill of Rights.
b. Reciprocity.
c. Respondeat superior.
d. The Occupational Safety and Health
Act.
5. Dr. Elisabeth Kübler-Ross' stages of b. Denial, anger, bargaining, depression, ac-
Death and Dying progress through five ceptance.
stages. Which of the following is the
correct order of her Death and Dying According to Dr. Elisabeth Kübler-Ross, these
stages? stages are not exclusively limited to those who
are dying, but anyone experiencing grief may
a. Anger, depression, denial, bargaining, progress through these five stages.
acceptance.
b. Denial, anger, bargaining, depression,
acceptance.
c. Denial, depression, anger, bargaining,
acceptance.
, RMA Exam Administrative Medical Assisting
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d. Depression, anger, bargaining, denial,
acceptance.
6. The Committee on Medicolegal Prob- b. Defamation
lems of the American Medical Associ-
ation (AMA) has determined that pa- Defamation is spoken or written words about a
tients must present evidence of four person that are both false and malicious, that in-
elements before negligence has been jure that person's reputation or means of liveli-
proven. Which of the following is NOT hood, and for which damages can be recovered.
one of the four elements of negligence? Defamation can take the form of libel or slander.
The four D's of negligence are Duty, Dereliction,
a. Damages Direct cause, Damages.
b. Defamation
c. Direct cause
d. Duty
7. To comply with Medicare guidelines, the c. Disallowed charges
physician must write off which of the fol-
lowing charges if not covered by Medi- If Medicare does not pay a claim, Medigap is
gap? not required to pay the claim, either. The bal-
ance must be written off by the physician.
a. Coinsurance
b. Deductible
c. Disallowed charges
d. Prevailing charges
8. Medical sole proprietorship, partner- b. liability insurance.
ships, groups, and corporations are en-
couraged to purchase insurance policies Professional liability coverage, also known as
that include benefits for medical expens- malpractice insurance, is specialty coverage to
es payable to individuals who are injured protect the physician and staff against financial
in the insured person's home, business, losses due to lawsuits filed against them by their
or car, without regard to the insured per- clients or others.
Study online at https://quizlet.com/_ewqxrn
1. The physician informs the medical assis- b. send a letter of formal withdrawal to the pa-
tant that they will no longer treat a pa- tient by certified mail, return receipt requested.
tient who refuses to follow their medical
advice and treatment plan. The proce- A physician who terminates care of a patient
dure that the medical assistant should must do so in a formal, legal manner, following
follow is to: these four steps:
· Write a letter to the patient expressing the
a. refer the patient to another physician reason for withdrawing from the case and rec-
the next time an appointment is request- ommending that the patient seek medical care
ed. from another physician as soon as possible.
b. send a letter of formal withdrawal to · Send the letter by certified mail with a return
the patient by certified mail, return re- receipt requested.
ceipt requested. · Place a copy of the letter (and the return re-
c. send the original medical records to ceipt, when received) in the patient's medical
the patient. record.
d. telephone the patient to explain the · Summarize in the patient record the physician's
situation. reason for terminating care and the actions tak-
en to inform the patient.
2. If a caring family member asks about c. provide information that has been authorized
a patient's treatment, the medical assis- by the patient.
tant should:
The core of the HIPAA Privacy Rule is the pro-
a. assure the relative that the patient will tection, use, and disclosure of protected health
be fine. information (PHI). PHI can come in any form
b. ignore the relative and walk away. or medium, such as electronic, paper, or oral,
c. provide information that has been au- including verbal communications among staff
thorized by the patient. members, patients, and other providers.
d. share all information with the relative.
3. A letter or statement from the insur- b. Explanation of benefits (EOB).
ance carrier describing what was paid,
, RMA Exam Administrative Medical Assisting
Study online at https://quizlet.com/_ewqxrn
denied, or reduced in payment. It also Explanation of benefits (EOB) is a document
contains information about amounts ap- sent by an insurance carrier when payment is
plied to the deductible, the patient's made describing the terms of the payments.
co-insurance, and the allowed amounts.
a. Assignment of benefits (AOB)
b. Explanation of benefits (EOB)
c. Participating provider (PAR)
d. Third-party administrator (TPA)
4. Under this doctrine, physicians are legal- c. Respondeat superior.
ly responsible for the acts of their em-
ployees when they are acting within the Respondeat superior is a Latin phrase meaning
scope of their duties or employment: "let the higher-up answer"—that is, that the
physician is responsible for employee acts.
a. Patient's Bill of Rights.
b. Reciprocity.
c. Respondeat superior.
d. The Occupational Safety and Health
Act.
5. Dr. Elisabeth Kübler-Ross' stages of b. Denial, anger, bargaining, depression, ac-
Death and Dying progress through five ceptance.
stages. Which of the following is the
correct order of her Death and Dying According to Dr. Elisabeth Kübler-Ross, these
stages? stages are not exclusively limited to those who
are dying, but anyone experiencing grief may
a. Anger, depression, denial, bargaining, progress through these five stages.
acceptance.
b. Denial, anger, bargaining, depression,
acceptance.
c. Denial, depression, anger, bargaining,
acceptance.
, RMA Exam Administrative Medical Assisting
Study online at https://quizlet.com/_ewqxrn
d. Depression, anger, bargaining, denial,
acceptance.
6. The Committee on Medicolegal Prob- b. Defamation
lems of the American Medical Associ-
ation (AMA) has determined that pa- Defamation is spoken or written words about a
tients must present evidence of four person that are both false and malicious, that in-
elements before negligence has been jure that person's reputation or means of liveli-
proven. Which of the following is NOT hood, and for which damages can be recovered.
one of the four elements of negligence? Defamation can take the form of libel or slander.
The four D's of negligence are Duty, Dereliction,
a. Damages Direct cause, Damages.
b. Defamation
c. Direct cause
d. Duty
7. To comply with Medicare guidelines, the c. Disallowed charges
physician must write off which of the fol-
lowing charges if not covered by Medi- If Medicare does not pay a claim, Medigap is
gap? not required to pay the claim, either. The bal-
ance must be written off by the physician.
a. Coinsurance
b. Deductible
c. Disallowed charges
d. Prevailing charges
8. Medical sole proprietorship, partner- b. liability insurance.
ships, groups, and corporations are en-
couraged to purchase insurance policies Professional liability coverage, also known as
that include benefits for medical expens- malpractice insurance, is specialty coverage to
es payable to individuals who are injured protect the physician and staff against financial
in the insured person's home, business, losses due to lawsuits filed against them by their
or car, without regard to the insured per- clients or others.
