CMAA Certification Exam Review | Full Exam Prep |
Latest Update 2026 | Graded A+
1. What must a patient do before their medical records can be released?
Request a copy of their insurance card
Provide a verbal consent
Fill out a medical history form
Sign a release form
2. Describe the significance of obtaining release of information authorization for a
CMAA when transmitting medical records.
It eliminates the need for patient identification.
It allows the CMAA to charge for services rendered.
It simplifies the billing process for insurance claims.
It ensures compliance with legal and ethical standards regarding patient
confidentiality.
3. What is the first step in the proper protocol for following up on nonpayment of
claims from third party payers?
Schedule a follow-up appointment
Document the claim in the patient record
Notify the patient of the claim
Contact the third party payer
,4. ________________________ is a document sent to patient from Medicare
explaining the payment and services rendered by the provider which has a lists of
services received, the name of provider, total amount billed by providers,
Medicare's approved payment amount for services, amount paid to the beneficiary
or his or her provider, costs the beneficiary is responsible for, and deductible
information
Local Coverage Determination (LCD)
National Coverage Determination (NCD)
Medicare Summary Notice (MSN)
Advance Beneficiary Notice (ABN)
5. Why is it important for the CMAA to be aware of state guidelines regarding patient
medical record retention?
State guidelines are optional and do not affect medical practice.
State guidelines are the same across all states.
State guidelines are only relevant for billing purposes.
State guidelines dictate the legal requirements for record retention, ensuring
compliance and protecting patient rights.
6. Which part of Medicare is responsible for covering physician services and devices?
Part C
Part A
Part D Part
B
7. What is the primary form that becomes part of a patient's medical history?
, Insurance claim form
Referral form
Patient consent form
Health history
8. Describe the role of practice management systems in generating financial reports.
Practice management systems ensure compliance with OSHA regulations.
Practice management systems manage medical records and patient
confidentiality.
Practice management systems track patient referrals and appointments.
Practice management systems generate financial reports that provide insights
into the business's performance.
9. Describe how capitation payment affects the relationship between physicians and
patients in managed care.
Capitation payment incentivizes physicians to manage care efficiently, as they
receive a fixed amount regardless of the number of services provided.
Capitation payment has no impact on the physician-patient relationship.
Capitation payment encourages physicians to provide more services to increase
their income.
Capitation payment requires physicians to charge patients directly for each
service.
10. What type of mail should be used for correspondence between a patient and a
provider?
, Standard mail
Express mail
Certified mail
Registered mail
11. Describe the initial steps a CMAA should take when dealing with an unpaid
insurance claim.
The CMAA should notify the patient about the claim status before taking any
action.
The CMAA should first call the insurance company to inquire about the claim
status.
The CMAA should submit a new claim without contacting the insurance
company.
The CMAA should immediately file a complaint with the state.
12. Why is it important to back up information in an offsite location for a medical
office?
It is a requirement of HIPAA regulations.
It is more convenient than backing up onsite.
It allows for faster access to data.
Backing up information in an offsite location protects against data loss due
to disasters or theft.
13. What is the required registration number for a healthcare provider to legally
prescribe controlled substances?
NPI number
Latest Update 2026 | Graded A+
1. What must a patient do before their medical records can be released?
Request a copy of their insurance card
Provide a verbal consent
Fill out a medical history form
Sign a release form
2. Describe the significance of obtaining release of information authorization for a
CMAA when transmitting medical records.
It eliminates the need for patient identification.
It allows the CMAA to charge for services rendered.
It simplifies the billing process for insurance claims.
It ensures compliance with legal and ethical standards regarding patient
confidentiality.
3. What is the first step in the proper protocol for following up on nonpayment of
claims from third party payers?
Schedule a follow-up appointment
Document the claim in the patient record
Notify the patient of the claim
Contact the third party payer
,4. ________________________ is a document sent to patient from Medicare
explaining the payment and services rendered by the provider which has a lists of
services received, the name of provider, total amount billed by providers,
Medicare's approved payment amount for services, amount paid to the beneficiary
or his or her provider, costs the beneficiary is responsible for, and deductible
information
Local Coverage Determination (LCD)
National Coverage Determination (NCD)
Medicare Summary Notice (MSN)
Advance Beneficiary Notice (ABN)
5. Why is it important for the CMAA to be aware of state guidelines regarding patient
medical record retention?
State guidelines are optional and do not affect medical practice.
State guidelines are the same across all states.
State guidelines are only relevant for billing purposes.
State guidelines dictate the legal requirements for record retention, ensuring
compliance and protecting patient rights.
6. Which part of Medicare is responsible for covering physician services and devices?
Part C
Part A
Part D Part
B
7. What is the primary form that becomes part of a patient's medical history?
, Insurance claim form
Referral form
Patient consent form
Health history
8. Describe the role of practice management systems in generating financial reports.
Practice management systems ensure compliance with OSHA regulations.
Practice management systems manage medical records and patient
confidentiality.
Practice management systems track patient referrals and appointments.
Practice management systems generate financial reports that provide insights
into the business's performance.
9. Describe how capitation payment affects the relationship between physicians and
patients in managed care.
Capitation payment incentivizes physicians to manage care efficiently, as they
receive a fixed amount regardless of the number of services provided.
Capitation payment has no impact on the physician-patient relationship.
Capitation payment encourages physicians to provide more services to increase
their income.
Capitation payment requires physicians to charge patients directly for each
service.
10. What type of mail should be used for correspondence between a patient and a
provider?
, Standard mail
Express mail
Certified mail
Registered mail
11. Describe the initial steps a CMAA should take when dealing with an unpaid
insurance claim.
The CMAA should notify the patient about the claim status before taking any
action.
The CMAA should first call the insurance company to inquire about the claim
status.
The CMAA should submit a new claim without contacting the insurance
company.
The CMAA should immediately file a complaint with the state.
12. Why is it important to back up information in an offsite location for a medical
office?
It is a requirement of HIPAA regulations.
It is more convenient than backing up onsite.
It allows for faster access to data.
Backing up information in an offsite location protects against data loss due
to disasters or theft.
13. What is the required registration number for a healthcare provider to legally
prescribe controlled substances?
NPI number
