A clinical medical assistant is preparing to bill a patient's insurance for a recent visit. Which of the following actions should the assistant take?
A Choose procedure codes based on the encounter form.
Upcode for greater reimbursement.
Refer to ICD-9 for diagnostic codes.
Enter all data using lowercase letters.
The Correct Answer is A
A. Choose procedure codes based on the encounter form. The encounter form, also known as a superbill, lists the procedures and services provided during the visit. The correct procedure codes (CPT codes) should be selected from this form to ensure accurate billing.
B. Upcode for greater reimbursement. Upcoding, or selecting a higher-level code than justified, is illegal and unethical as it constitutes fraud. This should never be done.
C. Refer to ICD-9 for diagnostic codes. ICD-9 codes have been replaced by ICD-10 codes, which are now the standard for diagnostic coding in the United States. Referring to ICD-9 codes would result in incorrect or outdated billing.
D. Enter all data using lowercase letters. Data entry in all lowercase letters is not a standard practice in medical billing and would not affect the accuracy of the codes. Proper case usage is typically recommended for clarity.
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Related Questions
Correct Answer is B
Explanation
A. Antibiotics: Antibiotics are not controlled substances and do not require a DEA number for prescription.
B. Opioids: Opioids are controlled substances and require a DEA number for prescription due to their potential for abuse and dependence.
C. Antimycotic: Antimycotic drugs, used to treat fungal infections, are not controlled substances and do not require a DEA number.
D. Cathartics: Cathartics, used to induce bowel movements, are not controlled substances and do not require a DEA number.
Correct Answer is A
Explanation
A. Speak in a neutral tone: Using a neutral tone helps de-escalate the situation and shows that you are calm and professional, which can help soothe an angry patient.
B. Speak louder than the patient: Speaking louder can escalate the situation further and increase the patient’s frustration.
C. Disregard the patient's mood: Disregarding the patient’s mood can make them feel ignored and may worsen their anger.
D. Ask the patient to reschedule: Asking the patient to reschedule may be appropriate in some cases but does not address the immediate issue of handling their anger effectively.
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