Prior to scheduling a surgical procedure with a gastroenterologist, which of the following actions should a medical assistant take?
Obtain precertification.
Code the diagnosis and procedure.
Complete the CMS-1500 claim form.
Review the claim information.
The Correct Answer is A
A. Obtain precertification: Obtaining precertification from the insurance company is often required before scheduling a surgical procedure to ensure that the procedure will be covered under the patient’s insurance plan.
B. Code the diagnosis and procedure: Coding the diagnosis and procedure is typically done after the procedure has been scheduled and is part of the billing process.
C. Complete the CMS-1500 claim form: The CMS-1500 claim form is used for billing and is completed after the procedure has been performed, not before scheduling.
D. Review the claim information: Reviewing claim information is part of the post-procedure billing process, not the scheduling process.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Subjective: The chief complaint is a patient-reported symptom or concern and is documented in the subjective section of the progress note. This section includes the patient’s personal perspective and descriptions of their symptoms.
B. Objective: The objective section includes measurable or observable data, such as vital signs and physical examination findings, not the patient’s chief complaint.
C. Review of systems: The review of systems is a systematic approach to obtaining information about the functioning of various body systems but is not specifically where the chief complaint is documented.
D. Assessment: The assessment section contains the provider’s diagnostic impressions and conclusions about the patient’s condition, rather than the chief complaint.
Correct Answer is C
Explanation
A. Chlamydia pneumoniae: While Chlamydia pneumoniae can cause respiratory infections, it is not typically associated with large-scale epidemics.
B. Clostridium difficile: Clostridium difficile causes antibiotic-associated diarrhea and colitis, but it is not commonly associated with epidemics.
C. Influenza type A: Influenza type A is known for causing seasonal epidemics and pandemics due to its ability to mutate rapidly and spread easily.
D. Mycobacterium tuberculosis: Mycobacterium tuberculosis causes tuberculosis, which is a concern for outbreaks but not typically associated with widespread epidemics like influenza.
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