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. Have the patient remove clothes before measurement. Patients do not need to remove their clothes for a weight measurement; only heavy items such as coats or shoes may need to be removed.
B. Ensure the scale is balanced. Ensuring the scale is balanced is essential for obtaining an accurate weight measurement, making this the correct action.
C. Disinfect the scale with cavicide. Disinfecting the scale is a good practice for infection control but is not directly related to ensuring an accurate weight measurement.
D. Put on gloves. Gloves are not necessary for this procedure unless there is a risk of contact with bodily fluids or the patient has a contagious condition.
Correct Answer is C
Explanation
A. Consent form: A consent form is a document that gives permission for medical procedures or treatments and is not the same as a superbill.
B. Assignment of benefits: Assignment of benefits is a document that allows the insurance company to pay the provider directly, not a billing form used to summarize charges.
C. Encounter form: A superbill is also known as an encounter form. It details the services provided, diagnosis codes, and charges for a patient’s visit.
D. Advanced beneficiary notice: An advanced beneficiary notice informs patients about services that Medicare may not cover and is not related to billing or charges.