CMA LATEST UPDATED ALL ACTUAL QUESTIONS
AND ANSWERS SURE A+
✔✔When more than one policy pays on a claim, it is called - ✔✔coordination of benefits
✔✔When both parents (married) are covered by health insurance, claims for the family
are paid according to the - ✔✔birthday rule
✔✔A method of containing hospital costs has been adopted with a system called -
✔✔DRGs
✔✔Which of the following is NOT a federal health insurance program or a state health
insurance program - ✔✔MCOs
✔✔What percentage will Medicare pay on an allowed claim - ✔✔70%
✔✔Mrs. Lee, a patient of Dr. Chad, is charged $80 for a visit. Medicare allows $60 for
this visit and paid $48. Because Mrs. Lee has already met her yearly deductible, how
much will she have to pay the physician - ✔✔$12
✔✔Which volumes of the ICD-9-CM books are needed for coding diagnoses in the
medical office - ✔✔Volumes I and II
, ✔✔Place the following medical records in alphabetic order
1. Scoville Francis J Sr.
2. Scoville Frances J
3. Scoville Francis J III
4. Scoville Francis J Jr. - ✔✔2, 3, 4, 1
✔✔Codes that cannot stand alone are - ✔✔E codes
✔✔Insurance policies that include coverage on a fee-for-service basis are called -
✔✔traditional insurance policies
✔✔Which of the following will happen to an insurance claim when the coding is
incorrectly entered on the insurance form - ✔✔the claim will be denied, and the
physician will not receive payment
✔✔Which of the following is the final step to the aging and collection process for a
patient with private insurance - ✔✔send an overdue notice with the intent of turning the
bill over to a collection agency if not paid promptly
✔✔Non-duplication of benefits means that - ✔✔benefits will be coordinated between
two separate insurance companies
✔✔Medical expenses for a patient injured at his or her place of employment should be
sent to - ✔✔workers' compensation insurance
✔✔Which of the following information would be listed on the front portion of a patient's
Medicare card - ✔✔the name of the beneficiary and the patient's ID number
✔✔Which of the following individuals would require the consent of an adult before
treatment may be given by a physician - ✔✔a 15-year-old girl living with her parents
✔✔Which of the following criteria is an example of the clustering style of scheduling -
✔✔scheduling a well-baby clinic for Tuesday mornings from 10:00 a.m. to 11:00 a.m.
and performing school physicals one morning per week
✔✔Which scheduling style utilizes any method or combination of methods that works
best for the individual office - ✔✔practice-based
✔✔Which of the following best describes the prior permission or approval needed from
an insurance carrier before a patient may be treated or have a specific procedure
performed by the physician - ✔✔precertification
AND ANSWERS SURE A+
✔✔When more than one policy pays on a claim, it is called - ✔✔coordination of benefits
✔✔When both parents (married) are covered by health insurance, claims for the family
are paid according to the - ✔✔birthday rule
✔✔A method of containing hospital costs has been adopted with a system called -
✔✔DRGs
✔✔Which of the following is NOT a federal health insurance program or a state health
insurance program - ✔✔MCOs
✔✔What percentage will Medicare pay on an allowed claim - ✔✔70%
✔✔Mrs. Lee, a patient of Dr. Chad, is charged $80 for a visit. Medicare allows $60 for
this visit and paid $48. Because Mrs. Lee has already met her yearly deductible, how
much will she have to pay the physician - ✔✔$12
✔✔Which volumes of the ICD-9-CM books are needed for coding diagnoses in the
medical office - ✔✔Volumes I and II
, ✔✔Place the following medical records in alphabetic order
1. Scoville Francis J Sr.
2. Scoville Frances J
3. Scoville Francis J III
4. Scoville Francis J Jr. - ✔✔2, 3, 4, 1
✔✔Codes that cannot stand alone are - ✔✔E codes
✔✔Insurance policies that include coverage on a fee-for-service basis are called -
✔✔traditional insurance policies
✔✔Which of the following will happen to an insurance claim when the coding is
incorrectly entered on the insurance form - ✔✔the claim will be denied, and the
physician will not receive payment
✔✔Which of the following is the final step to the aging and collection process for a
patient with private insurance - ✔✔send an overdue notice with the intent of turning the
bill over to a collection agency if not paid promptly
✔✔Non-duplication of benefits means that - ✔✔benefits will be coordinated between
two separate insurance companies
✔✔Medical expenses for a patient injured at his or her place of employment should be
sent to - ✔✔workers' compensation insurance
✔✔Which of the following information would be listed on the front portion of a patient's
Medicare card - ✔✔the name of the beneficiary and the patient's ID number
✔✔Which of the following individuals would require the consent of an adult before
treatment may be given by a physician - ✔✔a 15-year-old girl living with her parents
✔✔Which of the following criteria is an example of the clustering style of scheduling -
✔✔scheduling a well-baby clinic for Tuesday mornings from 10:00 a.m. to 11:00 a.m.
and performing school physicals one morning per week
✔✔Which scheduling style utilizes any method or combination of methods that works
best for the individual office - ✔✔practice-based
✔✔Which of the following best describes the prior permission or approval needed from
an insurance carrier before a patient may be treated or have a specific procedure
performed by the physician - ✔✔precertification
