A medical assistant is submitting an urgent referral request to an insurance company for authorization. Which of the following describes how long the authorize process will take?
24 hr
3 working days
Immediate approval via phone
10 days
The Correct Answer is C
A. 24 hr: Urgent referrals often require quick processing, but it may take longer than 24 hours depending on the insurance company's policies.
B. 3 working days: This time frame is more typical for standard, non-urgent referrals.
C. Immediate approval via phone: Urgent referrals can sometimes be approved immediately via phone, particularly when immediate care is needed. This is the most appropriate choice for an urgent situation.
D. 10 days: Ten days is too long for an urgent referral and is more typical for non-urgent or routine requests.
Free Nursing Test Bank
- Free Pharmacology Quiz 1
- Free Medical-Surgical Quiz 2
- Free Fundamentals Quiz 3
- Free Maternal-Newborn Quiz 4
- Free Anatomy and Physiology Quiz 5
- Free Obstetrics and Pediatrics Quiz 6
- Free Fluid and Electrolytes Quiz 7
- Free Community Health Quiz 8
- Free Promoting Health across the Lifespan Quiz 9
- Free Multidimensional Care Quiz 10
View Related questions
Correct Answer is C
Explanation
A. Bone density test: Bone density tests are typically recommended for women starting around age 65 or earlier if risk factors are present, but they are not usually performed annually.
B. Dilated eye exam: While dilated eye exams are important, they are generally recommended every 1-2 years, not annually, unless specific conditions warrant more frequent exams.
C. Papanicolaou (Pap) test: The Pap test is recommended every 3 years for women aged 21-65 or every 5 years with HPV testing for those aged 30-65. Annual documentation is not required, but it is important to monitor this screening as part of preventative care.
D. Mammogram: Mammograms are typically recommended every 1-2 years for women starting at age 40, not annually.
Correct Answer is D
Explanation
A. Orthopedic: Orthopedic specialists focus on musculoskeletal issues such as bones and joints, not coronary artery disease.
B. Neurology: Neurologists treat neurological disorders affecting the brain and nervous system, not coronary artery disease.
C. Bariatric: Bariatric specialists focus on weight loss and obesity-related conditions, which are not the primary treatment focus for coronary artery disease.
D. Cardiology: Cardiologists specialize in heart conditions, including coronary artery disease, and are the appropriate specialists for managing and treating this condition.