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.
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Correct Answer is B
Explanation
A. NIH (National Institutes of Health): NIH conducts biomedical and public health research but does not regulate laboratory testing.
B. CLIA (Clinical Laboratory Improvement Amendments): This is correct. CLIA regulates laboratory testing and ensures quality standards in the clinical office setting.
C. HHS (Department of Health and Human Services): HHS oversees many health-related programs and agencies, but CLIA specifically regulates laboratory testing.
D. OSHA (Occupational Safety and Health Administration): OSHA regulates workplace safety, not laboratory testing.
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.