Which of the following actions should a medical assistant who is participating in patient-centered medical home care expect to perform?
Negotiate with insurance companies for increased reimbursement.
Communicate with a nurse coordinator for transportation needs.
Schedule admissions to a facility.
Focus strictly on the course of treatment.
The Correct Answer is B
A. Negotiate with insurance companies for increased reimbursement. Negotiating with insurance companies is typically not a responsibility of a medical assistant within a PCMH.
B. Communicate with a nurse coordinator for transportation needs. This is correct. In a PCMH model, medical assistants may coordinate with other members of the healthcare team, including nurse coordinators, to address various patient needs, including transportation.
C. Schedule admissions to a facility. While scheduling may be part of a medical assistant’s duties, it is not specific to the PCMH model.
D. Focus strictly on the course of treatment. The PCMH model involves a holistic approach to patient care, not just focusing on treatment. It includes coordination of care, addressing social determinants of health, and ensuring continuity of care.
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Correct Answer is C
Explanation
A. Consent form: A consent form is a document that gives permission for medical procedures or treatments and is not the same as a superbill.
B. Assignment of benefits: Assignment of benefits is a document that allows the insurance company to pay the provider directly, not a billing form used to summarize charges.
C. Encounter form: A superbill is also known as an encounter form. It details the services provided, diagnosis codes, and charges for a patient’s visit.
D. Advanced beneficiary notice: An advanced beneficiary notice informs patients about services that Medicare may not cover and is not related to billing or charges.
Correct Answer is A
Explanation
A. Near visual acuity: Hyperopia, or farsightedness, affects the ability to see objects up close. Testing near visual acuity assesses how well a patient can see objects at a close range.
B. Ishihara: The Ishihara test is used for detecting color vision deficiencies, not hyperopia.
C. Snellen chart: The Snellen chart tests distance vision and is more useful for assessing nearsightedness (myopia) rather than farsightedness (hyperopia).
D. Tonometry: Tonometry measures intraocular pressure to assess for glaucoma, not hyperopia.