Certified Medical Administrative Assistant MCQ Flashcards
7 cards from real CMAA practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Certified Medical Administrative Assistant MCQ flashcards as text
A patient presents with a broken arm sustained at work. Which category of insurance would be the primary payer?
Answer: Workers' compensation insurance
Work-related injuries are covered by workers' compensation, which is primary over personal health insurance.
Which ICD coding system is currently required for diagnosis coding in the United States?
Answer: ICD-10-CM
ICD-10-CM has been mandated for diagnosis coding in the US since October 1, 2015.
What is the purpose of a prior authorization (pre-authorization) in healthcare?
Answer: To get insurance approval before performing certain services or procedures
Prior authorization is an insurer's advance approval that a specific service or medication is medically necessary and covered.
When a patient signs a release of information form, which element is NOT typically required for it to be valid under HIPAA?
Answer: The patient's Social Security Number
HIPAA authorization forms require specific elements but do not mandate inclusion of the patient's Social Security Number.
A medical administrative assistant discovers a billing error where a patient was overcharged. What is the correct next step?
Answer: Document the error and notify the billing supervisor or practice manager immediately
Billing errors must be reported to the appropriate supervisor and corrected with proper documentation to maintain compliance.
Which of the following best describes 'upcoding' in medical billing?
Answer: Billing for a higher-level service than was actually performed
Upcoding is a fraudulent practice of billing for a more expensive service than was documented or provided.
What does the acronym SOAP stand for in clinical documentation?
Answer: Subjective, Objective, Assessment, Plan
SOAP notes structure clinical documentation as Subjective (patient's complaints), Objective (exam findings), Assessment (diagnosis), and Plan (treatment).