ADMINISTRATION AMCA STUDY GUIDE QUESTIONS WITH CORRECT ANSWERS

Implied consent CORRECT ANSWER A patient slightly pulls up their sleeve to get a blood draw. CHAMPVA CORRECT ANSWER Veterans with service related disabilities are eligible for care under this. Group Health Insurance CORRECT ANSWER health insurance consisting of contracts written between a group, (employer, union, etc.) and the health care provider Dependent CORRECT ANSWER Someone who relies on someone else for income and care. Usually a child or spouse. The person who owns the Insurance policy is called: CORRECT ANSWER Policy holder, Subscriber, or Member Clean claim CORRECT ANSWER Error free claim form that has been processed and paid Fee Schedule CORRECT ANSWER A list of charges or established allowances for specific medical services and procedures An elderly person collapses in the waiting area, and you are the only Medical Assistant there. What is your FIRST step? CORRECT ANSWER Alert the Provider Allowed amount CORRECT ANSWER The insurance carrier is allowed to use any method to determine the amount for services. Doctrine of the Respondent Superior CORRECT ANSWER The Provider is responsible for any errors made by the staff. Eligibility to be a dependent on an insurance plan: CORRECT ANSWER Person must be unmarried cluster scheduling CORRECT ANSWER A method that brings several patients in at the same time, such as on the hour, to be seen by the provider; also known as wave scheduling. Wave scheduling CORRECT ANSWER A certain # of patients are scheduled to arrive at the same time and are seen in which the order they arrive. New Patient CORRECT ANSWER patient that has never seen a particular physician, or has not seen them within THREE years