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 C
Explanation
A. Urine specimen volume is 6 mL: A volume of 6 mL is generally sufficient for routine urinalysis, so this would not cause rejection.
B. Urine specimen temperature is 23° C (73.4° F): This temperature is within an acceptable range for a urine specimen that has been properly stored, so it would not cause rejection.
C. Urine specimen container is missing a preservative. Missing a preservative in the container can compromise the integrity of the specimen, leading to rejection.
D. Urine specimen is amber and turbid: Amber color and turbidity may indicate an abnormality, but they are not causes for specimen rejection in routine urinalysis.
Correct Answer is C
Explanation
A. The name of the person accompanying the patient: While this may be useful for certain procedures, it is not generally essential for scheduling an outpatient procedure.
B. The patient's dietary preferences: Dietary preferences are usually relevant for specific procedures that require dietary modifications but are not generally necessary for the scheduling process.
C. The patient's demographic information: Demographic information such as the patient's name, date of birth, and contact details are necessary for scheduling and for identifying and contacting the patient.
D. A copy of the patient's advance directives: Advance directives are important for treatment decisions but are not required for scheduling outpatient procedures.
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