CMAA Review exam Questions With
Complete Solutions
ABN (advanced beneficiary Notice) - CORRECT ANSWERS A form needing pt's signature-
when Medicare does not or is not expected to cover test or procedure
STAT - CORRECT ANSWERS something that is emergent
STAT Referrals - CORRECT ANSWERS a type of referral that is requested from a Dr. needing
to be dealt with in 24 hours. Requires phone call ro ins. and fax to facility
HIPPA - CORRECT ANSWERS an act that prohibits releasing any info on a pt. by-
comp.,fax,phone or verbal withough pt. consent
Except: 1) medical staff to medical staff
2) supoena
3) no consent needed if pt. present
Reconciling a bank deposit - CORRECT ANSWERS prior to depositing money in the bank
CMAA must make sure the total of checks and cash equal the deposit slip amount.
Right to know law - CORRECT ANSWERS law that stipulates employee's have the right to
know what they will be expsed to (ie. rapes,murders)
Co-insurance - CORRECT ANSWERS its the percent an insured person pays after the
insurance deductible is met
, Informed Consent - CORRECT ANSWERS type of consent where a pt. is notified of all
risks,other medical option's and HIPPA law.(ex. 15 y/o HIV Test)
Fee schedule - CORRECT ANSWERS a document established by the dr,Re: prices for
service.(Note: payment schedule will be dictated by insurance contracts) *must be updated regularly
CEU - CORRECT ANSWERS continuing Education done by medical professionals with current
lic's or certifications to ensure knowledge stays current.(Note: each lic/cert requires it's own cell
component)
Tracking unpaid Vendors - CORRECT ANSWERS make file marked unpaid vendors. checked
bi-weekly
verifying patients insurance - CORRECT ANSWERS -call prior to apt.-Manditory for all N.P.
-verify date of coverage,deductibles,copayment amont and ask for free schedule.
Verifying insurance for walk in pt's - CORRECT ANSWERS 1. ask pt. for demo info
2. if apt available make apt today
3.if no apt avaliable triage call
Remittance advice - CORRECT ANSWERS notification sent to providers office that
summarizes all benefits paid tot he provider for the claims submitted.
Claims register - CORRECT ANSWERS tracks submitted claims & dates
pt. registration form - CORRECT ANSWERS contains standard demographic information like
name,DOB, address,insurance info. *note does not contain clinical info.
Complete Solutions
ABN (advanced beneficiary Notice) - CORRECT ANSWERS A form needing pt's signature-
when Medicare does not or is not expected to cover test or procedure
STAT - CORRECT ANSWERS something that is emergent
STAT Referrals - CORRECT ANSWERS a type of referral that is requested from a Dr. needing
to be dealt with in 24 hours. Requires phone call ro ins. and fax to facility
HIPPA - CORRECT ANSWERS an act that prohibits releasing any info on a pt. by-
comp.,fax,phone or verbal withough pt. consent
Except: 1) medical staff to medical staff
2) supoena
3) no consent needed if pt. present
Reconciling a bank deposit - CORRECT ANSWERS prior to depositing money in the bank
CMAA must make sure the total of checks and cash equal the deposit slip amount.
Right to know law - CORRECT ANSWERS law that stipulates employee's have the right to
know what they will be expsed to (ie. rapes,murders)
Co-insurance - CORRECT ANSWERS its the percent an insured person pays after the
insurance deductible is met
, Informed Consent - CORRECT ANSWERS type of consent where a pt. is notified of all
risks,other medical option's and HIPPA law.(ex. 15 y/o HIV Test)
Fee schedule - CORRECT ANSWERS a document established by the dr,Re: prices for
service.(Note: payment schedule will be dictated by insurance contracts) *must be updated regularly
CEU - CORRECT ANSWERS continuing Education done by medical professionals with current
lic's or certifications to ensure knowledge stays current.(Note: each lic/cert requires it's own cell
component)
Tracking unpaid Vendors - CORRECT ANSWERS make file marked unpaid vendors. checked
bi-weekly
verifying patients insurance - CORRECT ANSWERS -call prior to apt.-Manditory for all N.P.
-verify date of coverage,deductibles,copayment amont and ask for free schedule.
Verifying insurance for walk in pt's - CORRECT ANSWERS 1. ask pt. for demo info
2. if apt available make apt today
3.if no apt avaliable triage call
Remittance advice - CORRECT ANSWERS notification sent to providers office that
summarizes all benefits paid tot he provider for the claims submitted.
Claims register - CORRECT ANSWERS tracks submitted claims & dates
pt. registration form - CORRECT ANSWERS contains standard demographic information like
name,DOB, address,insurance info. *note does not contain clinical info.
