Prior to scheduling a surgical procedure with a gastroenterologist, which of the following actions should a medical assistant take?
Obtain precertification.
Code the diagnosis and procedure.
Complete the CMS-1500 claim form.
Review the claim information.
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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Correct Answer is C
Explanation
A. Authentication: Authentication verifies user identities but does not act as a barrier between networks and the internet.
B. Audit trail: An audit trail tracks changes and access to records but does not act as a barrier.
C. Firewall: A firewall acts as a barrier between the network and the internet, helping to protect sensitive data and ensure HIPAA security.
D. Virus protection software: Virus protection software helps protect against malware but does not specifically act as a barrier between networks and the internet.
Correct Answer is A
Explanation
A. Ensure the skin is clean and dry. This is the correct action. Sweating can interfere with electrode adhesion and signal quality, so the skin should be cleaned and dried to ensure a good contact for accurate EKG readings.
B. Apply conductive gel to the patient's chest. Conductive gel is typically used with certain types of electrodes, but in the case of disposable adhesive EKG electrodes, it is not necessary and may not improve tracing quality.
C. Shave the electrode sites. Shaving may be necessary if the patient has a lot of body hair, but it is not the first step when dealing with sweating. Drying the skin is more immediate and essential.
D. Place the electrodes below the clavicle. Electrode placement should follow standard EKG guidelines, and moving them to non-standard positions like below the clavicle can result in inaccurate readings.