Point of care test regulations require quality control for which of the following reasons?
To ensure accuracy of test results.
To determine if a test is CLIA-waived.
To enhance instrument productivity.
To monitor the use of instrumentation.
The Correct Answer is A
A. To ensure accuracy of test results: Quality control ensures that the test results are accurate and reliable, which is crucial for proper diagnosis and treatment.
B. To determine if a test is CLIA-waived: Quality control does not determine CLIA-waived status; it ensures the accuracy and reliability of tests.
C. To enhance instrument productivity: While quality control can indirectly impact productivity by ensuring correct results, it is primarily focused on accuracy and reliability.
D. To monitor the use of instrumentation: Quality control is more focused on test accuracy rather than monitoring the use of instrumentation.
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Correct Answer is C
Explanation
A. Upon scheduling: Copayments are generally not collected when scheduling an appointment but at the time of service.
B. When statements are sent: Copayments are usually collected at the time of the office visit rather than through statements.
C. At the time of service: It is standard practice to collect copayments when the patient arrives for their appointment.
D. Upon insurance verification: Insurance verification occurs before the visit, but copayments are collected during or after the visit.
Correct Answer is A
Explanation
A. Obtain precertification: Obtaining precertification from the insurance company is often required before scheduling a surgical procedure to ensure that the procedure will be covered under the patient’s insurance plan.
B. Code the diagnosis and procedure: Coding the diagnosis and procedure is typically done after the procedure has been scheduled and is part of the billing process.
C. Complete the CMS-1500 claim form: The CMS-1500 claim form is used for billing and is completed after the procedure has been performed, not before scheduling.
D. Review the claim information: Reviewing claim information is part of the post-procedure billing process, not the scheduling process.