NCMOA case studies
NCMOA · Put your knowledge to work in context.
The Medical Office Assistant credential, abbreviated NCMOA, is issued by the National Center for Competency Testing (NCCT), an independent credentialing organization that has tested healthcare professionals and instructors throughout the United States since 1989. NCCT describes the NCMOA as accredited by NCCA and lists it among seven NCCA-accredited certifications. The NCMOA case studies are 5 cases and about 2,681 words.
1Chest Pain Call During a Packed Monday Schedule
Alvarez is the only physician in a two-exam-room family practice. On Mondays the clinic has one front-desk assistant and one medical assistant.
649 words, about 3 min2Patient Asks to Change a Code After a Colonoscopy Denial
Rivera, age 47, calls on Tuesday morning about a denied claim for a colonoscopy. Her explanation of benefits lists $1,240 as patient responsibility and gives the reason 'service not covered-preventive versus diagnostic.' She says the physician told her it was 'just a screening' and asks the front desk to 'change the code to a screening so insurance will pay.' The procedure note documents rectal bleeding and a family history of colon cancer, and the claim was submitted with a diagnostic code.
546 words, about 3 min3Contradictory Dictation and an Amendment Request
A medical office assistant is reviewing a transcribed office note before it is signed. The dictation says: 'Patient denies chest pain.
526 words, about 3 min4Modifier 25 Request on a Denied Office Visit
A patient has a 6-mm sebaceous cyst excised in the office on March 4. The provider documented a problem-focused history and exam for the cyst and a separate 10-minute discussion of the patient's new hypertension medication, with a plan to increase lisinopril.
501 words, about 3 min5Confidential Minor Visit, Employer Call, and a Misdirected Subpoena
A 16-year-old patient, A.J., visits the clinic for a confidential sexual health visit. The state allows minors to consent to STI testing and contraception without parental consent, but the practice's general policy is to release records to a parent or guardian.
459 words, about 2 min