Crucial Exams

AAMA CMA Practice Question

A medical assistant is reviewing a patient's encounter form before processing it and notices a charge for a service that was not actually performed. What is the MOST appropriate initial action for the assistant to take to prevent a fraudulent claim from being submitted?

  • Bring the discrepancy to the attention of the provider or the office manager for correction.

  • Alter the patient's progress note to include documentation that supports the service charge.

  • Submit the claim and wait to see if the insurance payer flags the unperformed service.

  • Ask a fellow medical assistant what they think should be done about the error.

AAMA CMA
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