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 C
Explanation
A. 1/4 inch: A 1/4 inch border is too small to be considered a standard contaminated area. The correct border size is larger.
B. 1/2 inch: A 1/2 inch border is also not standard; the correct contaminated border is larger.
C. 1 inch: The standard for sterile fields is to consider a 1-inch border around the edge of the sterile field as contaminated. This helps to prevent inadvertent contamination of sterile items.
D. 1 1/2 inches: A 1 1/2 inch border is unnecessarily large and exceeds the standard 1-inch margin considered contaminated.
Correct Answer is D
Explanation
A. Physicians' Desk Reference: The Physicians' Desk Reference (PDR) provides drug information and is not used for diagnostic coding. It includes details about medications, such as their uses, dosages, and side effects.
B. CPT manual: The CPT (Current Procedural Terminology) manual is used to find codes for procedures and services provided by healthcare professionals, not diagnostic codes.
C. HCPCS: The Healthcare Common Procedure Coding System (HCPCS) is primarily used for coding supplies, equipment, and services not included in the CPT manual. It is not used for diagnostic coding.
D. ICD-10-CM coding manual: The ICD-10-CM (International Classification of Diseases, 10th Revision, Clinical Modification) manual is the correct reference for finding diagnostic codes, including those for arteriosclerotic heart disease.