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CMAA Certification Exam: Practice Questions and Answers Study Guide

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CMAA Certification Exam: Practice Questions and Answers Study Guide

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CMAA Exam Qs and As



1. Care for patients who have chronic diagnoses✔✔✔ Non-Acute Care

2. A series of regulations governing how and by whom patient information
can be used✔✔✔ Health Insurance Portability and Accountability Act
(HIPAA)

3. At least a 24-hr stay in a facility✔✔✔ Admission

4. A form signed by a patient or health care facility that allows for copying
and releasing of patient information✔✔✔ Release of Information (ROI)

5. When a physician is permitted to admit their patients to a particular
hospital✔✔✔ Admitting Privileges

6. Another part of the process of ensuring accurate
communication✔✔✔ Rep-etition




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7. A request by a physician for a patient to be seen by another
physician✔✔✔ -
Referral

8. Part of the process of making sure communications are accurately trans-
mitted and received✔✔✔ Confirmation

9. A physician's order for a medication, test, or treatment✔✔✔
Prescription

10. A health care facility that provides skilled, long-term care to people
who are medically stable, but can't care for themselves; also called nursing
homes, rehabilitation centers, or assisted living facilities: Long-Term Care
Facilities

11. An office providing non-acute, non-emergent, short-term care✔✔✔
Walk-InClinic

12. A facility that performs diagnostic tests on blood or other specimens and
perform x-rays or EKGs✔✔✔ Laboratory

13. A medical doctor who can diagnose illnesses and injuries, prescribe
treatments, and perform procedures✔✔✔ Physician

14. A system for classifying, recording, and summarizing financial informa-
tion✔✔✔ Accounting

15. Securing and processing money patients owe✔✔✔ Billing

16. The recording part of the accounting process✔✔✔ Bookkeeping

17. A form submitted to a third-party payer for reimbursement✔✔✔ Claim
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18. A legally binding agreement between two parties✔✔✔ Contract

19. A small fee paid to a provider at the time services are rendered; the
portion of a service fee that the patient must pay✔✔✔ Copayment

20. A standard health insurance claim form✔✔✔ CMS-1500

21. Standard codes used to designate procedures and tests✔✔✔
Current Proce-dural Terminology (CPT) Codes

22. Term used to describe a provider's fee; denotes the fee is usual and
reasonable, or acceptable✔✔✔ Customary

23. Amount of money an individual must pay for health care expenses before
insurance covers the cost; patient's share of cost✔✔✔ Deductible

24. Treatments or services that health insurance companies will not
pay✔✔✔ Ex-clusions




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25. Person or organization that has agreed to pay the bill(s) for medical
services✔✔✔ Guarantor

26. A type of health insurance company✔✔✔ Health Maintenance
Organization(HMO)

27. Standard codes for diseases, signs, and symptoms✔✔✔
International Classi-fication of Diseases (ICD) Codes

28. Detailed explanation of a medical bill; gives a line-by-line list of every-
thing that was done and all the supplies and medications that were
used✔✔✔ -Itemized

29. Government-provided health insurance for older adults, retired individu-
als, and some people who have disabilities✔✔✔ Medicare

30. Government-provided health insurance for the indigent or some people
who have disabilities✔✔✔ Medicaid

31. The amount of money the patient must pay for medical care✔✔✔ Out of
Pocket

32. Treat a wide variety of medical conditions✔✔✔ Internal Medicine
Physicians

33. Treat diseases and disorders of the glands, such as the thyroid and
pancrease✔✔✔ Endocrinologists

34. Diagnose and treat patients in emergency departments and they have
skills in a variety of disciplines✔✔✔ Emergency Medicine Physicians


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