AAMA CMA certification exam content
outline (page 2) UPDATED ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS
1.) HIPAA - Correct Answers ✅1) H.ealth I.nsurance
P.ortability & A.ccountability A.ct
(passed 8-21 1996)
Title 1: Healthcare portability protecting employees who
change jobs, allowing to carry existing plans with them to
new jobs.
*increases eligibility, reduces probability of losing coverage,
helps maintain continuous Health Care coverage, helps
workers if they lose coverage
Title 2: Fraud & Abuse prevention, administrative simplified,
medical liability reform. privacy (& Federal Protection) of
individually identifiable health information (IIHI)
*gives patients more control of record, boundaries on use &
release of health records
2) HIPAA was made to? - Correct Answers ✅2) improve
portability & continuation coverage in group & individual
markets, combat waste, Fraud, Abuse, promote medical
savings accounts, improve access to long-term care
coverage, simplify admin.
3) HIPPA portability access & renewal without pre-existing
conditions - Correct Answers ✅3) new job-group health
plan, you can't be denied access because you have a pre-
,AAMA CMA certification exam content
outline (page 2) UPDATED ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS
existing condition. The new group plan can exclude you from
coverage for that condition up to 12 months. Before the law,
the plan could just deny you coverage for that
condition...forever!
4) coordination of benefits - Correct Answers ✅4) specifies
how the insurers will share the cost when more than one
policy covers a claim. prevents duplication of services.
*primary plan- pays benefits first *secondary (supplemental)
plan- pays deductible, coinsurance (co-payments)
5) (coordination of benefits) policyholder's primary plan is
always ? - Correct Answers ✅5) Employer's Group Health
Plan
6) Birthday rule - Correct Answers ✅6) whose birthday
comes first in the calendar year is the primary payer for all
dependents
7) HITECH - Correct Answers ✅7) H.ealth I.nformation
T.echnology for E.conomic and C.linical H.ealth Act
(title XIII of American Recovery and reinvestment act of 2009)
, AAMA CMA certification exam content
outline (page 2) UPDATED ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS
Department of Health and Human Services (DHHS), increased
compliance with privacy regulations of pt. electronic health
records,no matter what format, on a business need to know
basis
8) patients right to inspect, amend & restrict access to their
medical record - Correct Answers ✅8)
*restrict- patient can limit how your office uses their medical
info & how much of that info is shared. only a minimal
amount of should be released on a need-to-know basis to
others. patients have the right to request & receive a copy of
their own medical record. considered acceptable practice to
act on a request within 30 days and charge a fee
*inspect- right to view original medical record (usually in
office)
*right to request Amendment- may be denied if healthcare
provider receiving the request is not the original recorder of
the PHI or if it's believed to be accurate & complete.
providers have the right to request amend in writing
*does allow providers to withhold certain medical records
(psychotherapy notes)
outline (page 2) UPDATED ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS
1.) HIPAA - Correct Answers ✅1) H.ealth I.nsurance
P.ortability & A.ccountability A.ct
(passed 8-21 1996)
Title 1: Healthcare portability protecting employees who
change jobs, allowing to carry existing plans with them to
new jobs.
*increases eligibility, reduces probability of losing coverage,
helps maintain continuous Health Care coverage, helps
workers if they lose coverage
Title 2: Fraud & Abuse prevention, administrative simplified,
medical liability reform. privacy (& Federal Protection) of
individually identifiable health information (IIHI)
*gives patients more control of record, boundaries on use &
release of health records
2) HIPAA was made to? - Correct Answers ✅2) improve
portability & continuation coverage in group & individual
markets, combat waste, Fraud, Abuse, promote medical
savings accounts, improve access to long-term care
coverage, simplify admin.
3) HIPPA portability access & renewal without pre-existing
conditions - Correct Answers ✅3) new job-group health
plan, you can't be denied access because you have a pre-
,AAMA CMA certification exam content
outline (page 2) UPDATED ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS
existing condition. The new group plan can exclude you from
coverage for that condition up to 12 months. Before the law,
the plan could just deny you coverage for that
condition...forever!
4) coordination of benefits - Correct Answers ✅4) specifies
how the insurers will share the cost when more than one
policy covers a claim. prevents duplication of services.
*primary plan- pays benefits first *secondary (supplemental)
plan- pays deductible, coinsurance (co-payments)
5) (coordination of benefits) policyholder's primary plan is
always ? - Correct Answers ✅5) Employer's Group Health
Plan
6) Birthday rule - Correct Answers ✅6) whose birthday
comes first in the calendar year is the primary payer for all
dependents
7) HITECH - Correct Answers ✅7) H.ealth I.nformation
T.echnology for E.conomic and C.linical H.ealth Act
(title XIII of American Recovery and reinvestment act of 2009)
, AAMA CMA certification exam content
outline (page 2) UPDATED ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS
Department of Health and Human Services (DHHS), increased
compliance with privacy regulations of pt. electronic health
records,no matter what format, on a business need to know
basis
8) patients right to inspect, amend & restrict access to their
medical record - Correct Answers ✅8)
*restrict- patient can limit how your office uses their medical
info & how much of that info is shared. only a minimal
amount of should be released on a need-to-know basis to
others. patients have the right to request & receive a copy of
their own medical record. considered acceptable practice to
act on a request within 30 days and charge a fee
*inspect- right to view original medical record (usually in
office)
*right to request Amendment- may be denied if healthcare
provider receiving the request is not the original recorder of
the PHI or if it's believed to be accurate & complete.
providers have the right to request amend in writing
*does allow providers to withhold certain medical records
(psychotherapy notes)
