CCMA Module 11 - Administrative Assisting
Exam With Complete Solutions
OIG - ANSWER office of inspector general: works with CMS to oversee
federal healthcare programs
PMS uses - ANSWER practice management system: used to schedule
appointments, entering and tracking pt demographics, performing billing
procedures, etc.
scheduling methods - ANSWER specific time, wave scheduling (in order of
arrival each hour), double-booking (concurrent), and clustering (common
needs)
when to schedule new pts (and what are they) - ANSWER tuesdays; initial
or first encounter after 3-year absence from organization
when to schedule wellness exams - ANSWER fridays
why screen pt calls? - ANSWER to triage calls (so you can schedule apps
according to most urgent needs); ask cond of pt and reason for calling
what to do after screening questions - ANSWER verify third-party eligibility
how much time required for a new pt visit - ANSWER 60 mins
how much time required for an established pt visit - ANSWER 15 mins
how much time required for a comprehensive pt visit - ANSWER 45-60
mins
, how much time required for a preventative care visit (physical exam, annual
wellness, chronic care management) - ANSWER 45-60 mins
how much time required for urgent visits - ANSWER 20 mins
when are coinsurances payed and by who - ANSWER at the time of
service; pt
NPP - ANSWER notice of privacy practices - document identifying how
provider will distribute and disclose a pt's protected health info
advance directive (part of medical record) - ANSWER outline how you want
to be handled if you can no longer advocate for yourself)
med release forms - ANSWER instructing who can release what pt info to
whom
what to do with info in pt medical record that is no longer needed -
ANSWER NEVER DELETED; just crossed out, including the date and
name of the person making this addendum
pt flow sheet - ANSWER records and tracks pt health data, like vitals and
lab results
encounter form/superbill - ANSWER records diagnoses and procedures
covered during visit; includes list of diagnosis and procedure codes;
REASON FOR VISIT
encounter notes - ANSWER clinical notes that include hx of present
illnesses and current med lists
diagnosis codes - ANSWER ICD-10-CM; reason for visit, such as tonsillitis
or annual exam
- alphanumeric characters beginning w letter
- cause, cond, manifestation, location, severity, and type of injury/illness
procedure codes - ANSWER CPT (current procedural terminology); include
what med services were provided, such as exam or lab work
Exam With Complete Solutions
OIG - ANSWER office of inspector general: works with CMS to oversee
federal healthcare programs
PMS uses - ANSWER practice management system: used to schedule
appointments, entering and tracking pt demographics, performing billing
procedures, etc.
scheduling methods - ANSWER specific time, wave scheduling (in order of
arrival each hour), double-booking (concurrent), and clustering (common
needs)
when to schedule new pts (and what are they) - ANSWER tuesdays; initial
or first encounter after 3-year absence from organization
when to schedule wellness exams - ANSWER fridays
why screen pt calls? - ANSWER to triage calls (so you can schedule apps
according to most urgent needs); ask cond of pt and reason for calling
what to do after screening questions - ANSWER verify third-party eligibility
how much time required for a new pt visit - ANSWER 60 mins
how much time required for an established pt visit - ANSWER 15 mins
how much time required for a comprehensive pt visit - ANSWER 45-60
mins
, how much time required for a preventative care visit (physical exam, annual
wellness, chronic care management) - ANSWER 45-60 mins
how much time required for urgent visits - ANSWER 20 mins
when are coinsurances payed and by who - ANSWER at the time of
service; pt
NPP - ANSWER notice of privacy practices - document identifying how
provider will distribute and disclose a pt's protected health info
advance directive (part of medical record) - ANSWER outline how you want
to be handled if you can no longer advocate for yourself)
med release forms - ANSWER instructing who can release what pt info to
whom
what to do with info in pt medical record that is no longer needed -
ANSWER NEVER DELETED; just crossed out, including the date and
name of the person making this addendum
pt flow sheet - ANSWER records and tracks pt health data, like vitals and
lab results
encounter form/superbill - ANSWER records diagnoses and procedures
covered during visit; includes list of diagnosis and procedure codes;
REASON FOR VISIT
encounter notes - ANSWER clinical notes that include hx of present
illnesses and current med lists
diagnosis codes - ANSWER ICD-10-CM; reason for visit, such as tonsillitis
or annual exam
- alphanumeric characters beginning w letter
- cause, cond, manifestation, location, severity, and type of injury/illness
procedure codes - ANSWER CPT (current procedural terminology); include
what med services were provided, such as exam or lab work
