A provider observes that a patient had clubbing of the fingers and toes on physical examination. Which of the following should the medical assistant document the plural form of the term for fingers and toes?
Pleura
Plexus
Phalanges
Pharynges
The Correct Answer is C
A. Pleura: Pleura refers to the membranes surrounding the lungs, not fingers or toes.
B. Plexus: Plexus refers to a network of nerves or vessels in the body, not fingers or toes.
C. Phalanges: Phalanges are the correct term for the bones in the fingers and toes. This is the correct plural form of the term.
D. Pharynges: Pharynges is the plural form of pharynx, which refers to the part of the throat behind the mouth and nasal cavity, not fingers or toes.
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Correct Answer is A
Explanation
A. Choose procedure codes based on the encounter form. The encounter form, also known as a superbill, lists the procedures and services provided during the visit. The correct procedure codes (CPT codes) should be selected from this form to ensure accurate billing.
B. Upcode for greater reimbursement. Upcoding, or selecting a higher-level code than justified, is illegal and unethical as it constitutes fraud. This should never be done.
C. Refer to ICD-9 for diagnostic codes. ICD-9 codes have been replaced by ICD-10 codes, which are now the standard for diagnostic coding in the United States. Referring to ICD-9 codes would result in incorrect or outdated billing.
D. Enter all data using lowercase letters. Data entry in all lowercase letters is not a standard practice in medical billing and would not affect the accuracy of the codes. Proper case usage is typically recommended for clarity.
Correct Answer is B
Explanation
A. Perform a sterile hand scrub: While sterile technique is important in many procedures, a sterile hand scrub is not specifically necessary for suture removal.
B. Lift the knot toward the wound: Lifting the knot towards the wound helps to ease the removal of the suture by reducing tension on the skin, making the procedure easier and less painful.
C. Begin cutting the sutures in the middle of the wound: Sutures should be cut close to the skin, not in the middle, to ensure proper removal and avoid causing unnecessary trauma to the wound.
D. Clean the wound with a disinfectant: Cleaning the wound with a disinfectant is not necessary before suture removal and might irritate the wound. Instead, the area should be cleaned after suture removal if needed.