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Which of the following actions should a medical assistant who is participating in patient-centered medical home care expect to perform?

A.

Negotiate with insurance companies for increased reimbursement.

B.

Communicate with a nurse coordinator for transportation needs.

C.

Schedule admissions to a facility.

D.

Focus strictly on the course of treatment.

Answer and Explanation

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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View Related questions

Correct Answer is A

Explanation

A. A patient who has a breathing disorder: Fowler’s position (sitting with the head of the bed elevated) can help ease breathing difficulties by allowing better lung expansion.

B. A patient who has severe hypotension: Fowler’s position may exacerbate hypotension. A supine or Trendelenburg position might be more appropriate for severe hypotension.

C. A patient who is having a perineal examination: A lithotomy position is generally used for perineal examinations.

D. A patient who is having a rectal examination: The Sims' position is typically used for rectal examinations.

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.

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