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Prior to scheduling a surgical procedure with a gastroenterologist, which of the following actions should a medical assistant take?

A.

Obtain precertification.

B.

Code the diagnosis and procedure.

C.

Complete the CMS-1500 claim form.

D.

Review the claim information.

Answer and Explanation

The Correct Answer is A

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.


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View Related questions

Correct Answer is C

Explanation

A. 99.6°F: This temperature is higher than expected for an axillary reading. Axillary temperatures are generally lower than oral temperatures.

B. 98.6°F: This reading matches the oral temperature. However, axillary temperatures are usually lower by approximately 1°F compared to oral temperatures.

C. 97.6°F: This is the correct answer because axillary temperatures tend to be about 1°F lower than oral temperatures.

D. 96.6°F: This reading is lower than typically expected for an axillary temperature and would indicate hypothermia, which is not expected if the oral temperature was normal.

Correct Answer is C

Explanation

A. Colonoscopy: A colonoscopy is an invasive procedure that requires written informed consent due to the associated risks and the need for detailed patient understanding.

B. Dilation and curettage: Dilation and curettage (D&C) is an invasive procedure requiring written informed consent, including an explanation of risks, benefits, and alternatives.

C. Venipuncture: For venipuncture, verbal consent is generally sufficient, as it is a minor procedure with minimal risk.

D. Cardiac stress test: A cardiac stress test, while less invasive, typically requires written informed consent due to potential risks and the need for patient understanding.

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