CMAA CH 2 - PATIENT INTAKE

The CMAA must always verify insurance benefits for every patient.

• TRUE

• FALSE

If a medical office charges Medicare patients for no show appts, you must also charge non- Medicare patients.

• TRUE

• FALSE

The process of purging medical records/files means

• you are shredding them

• you are moving medical charts from active to inactive

• you are converting them from paper to electronic records

• none of these are correct

If the CMAA does not get preauthorization from the insurance company when required, the insurance company still has to pay no matter what.

• TRUE

• FALSE

What rule states the following: The health plan of the parent whose birthday comes first in the calendar year is designated as the primary plan.

• primary parent law

• birthday rule

• assignment of benefits rule

• none of these

What is the purpose of the assignment of benefits (AOB) form?

• This form authorized the insurance company to send benefits directly to the provider.

• This form allows the insurance policy holder to transfer benefits to their children.

• This form authorizes grandparents to get benefits from the health insurance policy.

• none of these are correct

What is a STAT referral?

• This is the most common type of referral and usally takes 3-10 working days after the CMAA has faxed the patient’s information

• The CMAA should immediately get the referral approved via a phone call with the insurance company.

• Fax the referral and only allow up to 24 hours for review and approval.

• Used for urgent, but not life threatening situtations. The CMAA should process this as quickly as possible.

What are reimbursements?

• payment of benefits to the provider from insurance companies

• refunds to the insurance companies from the provider

• supplying the petty cash fund with more money

Medical records are considered inactive when

• the patient has not been seen in 6 months or longer

• the patient has not been seen in 3 months or longer

• the patient has not been seen in 12 months or longer

• medical records are never considered inactive

What information is included on the demographics sheet?

(click all that apply)

• Name

• SSN and DOB

• insurance

• medications

• allergies