Crucial Exams

AAMA CMA Practice Question

Mrs. Johnson, a 68-year-old patient, presents to the clinic for a routine annual physical exam. She has coverage under a Medicare Advantage Plan. As a medical assistant responsible for billing, what is important to ensure before submitting the claim for the visit?

  • Verify Mrs. Johnson's eligibility and coverage for the annual physical exam under her specific Medicare Advantage Plan for the service date.

  • Assume that the Medicare Advantage Plan follows the same rules as traditional Medicare and requires no verification.

  • Automatically submit the claim as all Medicare recipients are entitled to one routine annual physical exam per year without cost-sharing.

  • Bill the patient directly for the annual physical, as Medicare Advantage Plans do not cover preventive services.

AAMA CMA
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