CMA AAMA Exam- Collection and Processing Specimens- Microscopy/Lab Basics Questions with Verified Solutions

CMA AAMA Exam- Collection and Processing Specimens- Microscopy/Lab Basics Questions with Verified Solutions Why was CLIA passed by Congress in 1988? Improve the quality of lab testing What is true of labs that are not CLIA compliant? They cannot receive Medicare or Medicaid Reimbursement The CLIA amendments established what in the laboratory? Quality Assurance What are the quality assurance requirements? Written procedures, employee policies, documented maintenance of machines, documented procedures and quality control Laboratories must participate in what testing for CLIA certification? Proficiency testing Which agency is responsible for monitoring if labs are CLIA compliant? FDA What are the three categories of tests that the FDA has to regulate in the laboratories under CLIA guidelines? Waived, moderate complexity, and provider performed microscopy tests and high complexity. Quality assurance does not apply in which instance? Waived tests Which tests can be categorized as waived? Tests that a patient can perform at home. What characteristics must waived tests have? They must have a low or insignificant risk of error if performed incorrectly or pose little risk of harm to the patient. What are some examples of waived tests? Dipstick or tablet reagent urinalysis, fecal occult blood, ovulation testing, urine pregnancy tests (HCG), blood glucose, ESR, hemoglobin (HGB), hematocrit(Hct), and CLIA-approved Strep A. Which testing category comprises of approximately 75% of all tests performed? Moderate complexity Most moderate complexity testing takes place in? The physician's office laboratory or POL. What are some examples of common moderate complexity tests? Hematology and blood chemistry performed with an automated analyzer, pinworm preparation, Gram's staining, and microscopic analysis of urine sediment. Which tests are not usually performed in the POL? High complexity testing What are some examples of high complexity testing? PAP smears, blood typing, blood cross matching, and cytology testing. What is the goal of Quality Control? Ensure accuracy in test results through careful monitoring of testing procedures.