Administrative Procedures Flashcards
6 cards from real RMA practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Administrative Procedures flashcards as text
Which form is used by physicians to report a patient's diagnosis and procedures to an insurance company for reimbursement?
Answer: CMS-1500
The CMS-1500 (formerly HCFA-1500) is the standard claim form used by non-institutional providers, including physician offices, to bill Medicare, Medicaid, and most other insurers.
In the context of medical records, what does 'SOAP' stand for?
Answer: Subjective, Objective, Assessment, Plan
SOAP is a structured progress note format: Subjective (patient's reported symptoms), Objective (measurable findings), Assessment (diagnosis), and Plan (treatment).
Which of the following is NOT a standard element of a professional business letter formatted in full-block style?
Answer: Indented paragraphs
In full-block style, every element — including paragraphs — begins at the left margin with no indentations; indented paragraphs are a feature of modified-block or semi-block styles.
A patient's account has been sent to a collection agency. Under the Fair Debt Collection Practices Act (FDCPA), which action is PROHIBITED for the collection agency?
Answer: Calling the debtor's place of employment after being told not to
The FDCPA prohibits collectors from contacting a debtor at work if they have been informed that the employer prohibits such calls — continuing to do so constitutes harassment.
Which scheduling method is best suited for a very busy practice that wants to minimize gaps while accommodating varying appointment lengths?
Answer: Stream (time-slot) scheduling
Stream scheduling assigns each patient a specific time slot of appropriate length for their visit type, creating a steady flow of patients that minimizes waiting and reduces idle gaps in the provider's schedule.
What is the purpose of a charge ticket (also called an encounter form or superbill) in a medical office?
Answer: To capture diagnosis and procedure codes for billing at the point of care
A charge ticket (superbill) is a pre-printed or electronic form completed at the time of service that records ICD and CPT codes, enabling the billing department to generate insurance claims.