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 B
Explanation
A. Capillary blood: Capillary blood can be used in some cases, especially in infants, but it is less accurate than arterial blood for measuring blood pH and gases.
B. Arterial blood: Arterial blood is the correct sample for measuring blood pH and gases (such as oxygen and carbon dioxide levels) because it reflects the gas exchange occurring in the lungs.
C. Venous blood: Venous blood is not typically used for measuring blood gases as it does not accurately reflect the oxygenation status of the body.
D. Cerebrospinal fluid: Cerebrospinal fluid is not used for measuring blood pH and gases; it is typically analyzed for conditions affecting the brain and spinal cord.
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.