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 B
Explanation
A. Culture tube: A culture tube is used for specific tests to collect microbiological samples, not routinely required for all venipunctures.
B. Biohazard container: A biohazard container is essential for the safe disposal of used needles and other sharp objects to prevent contamination and injury.
C. Sterile specimen cup: A sterile specimen cup is used for collecting urine samples or other specimens, not required for routine venipuncture.
D. Lancet: A lancet is used for capillary blood draws, not for routine venipuncture.
Correct Answer is D
Explanation
A. Alcohol: Alcohol can be used for cleaning but may not be sufficient for all minor surgical preparations. It is not considered an antiseptic in the context of preoperative skin cleaning.
B. Normal saline: Normal saline is used for irrigation and wound cleaning but does not have antiseptic properties.
C. Disinfectant: Disinfectants are used to clean surfaces and equipment but are not typically used directly on the skin for surgical preparation.
D. Antiseptic: Antiseptics, such as iodine-based solutions or chlorhexidine, are used to clean the skin and reduce the risk of infection before a minor surgical procedure.
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