Which of the following are symptoms of poisoning?
Bluish lips, cough, and difficulty breathing
Itchy eyes, sinus congestion, and drainage
Increase in thirst, urination, and hunger
Heat intolerance, increased energy, and sweating
The Correct Answer is A
A. Bluish lips, cough, and difficulty breathing: These symptoms can indicate poisoning, particularly from substances that affect oxygen levels or respiratory function.
B. Itchy eyes, sinus congestion, and drainage: These symptoms are more commonly associated with allergies or upper respiratory infections rather than poisoning.
C. Increase in thirst, urination, and hunger: These symptoms are typically associated with conditions like diabetes rather than poisoning.
D. Heat intolerance, increased energy, and sweating: These symptoms are more indicative of hyperthyroidism or other endocrine disorders rather than poisoning.
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Correct Answer is A
Explanation
A. Choose procedure codes based on the encounter form. The encounter form, also known as a superbill, lists the procedures and services provided during the visit. The correct procedure codes (CPT codes) should be selected from this form to ensure accurate billing.
B. Upcode for greater reimbursement. Upcoding, or selecting a higher-level code than justified, is illegal and unethical as it constitutes fraud. This should never be done.
C. Refer to ICD-9 for diagnostic codes. ICD-9 codes have been replaced by ICD-10 codes, which are now the standard for diagnostic coding in the United States. Referring to ICD-9 codes would result in incorrect or outdated billing.
D. Enter all data using lowercase letters. Data entry in all lowercase letters is not a standard practice in medical billing and would not affect the accuracy of the codes. Proper case usage is typically recommended for clarity.
Correct Answer is A
Explanation
A. Offer to review and research the problem: Offering to review and research the billing concern shows willingness to address the issue and provides the patient with assistance.
B. Inform the patient you will ask the provider to call them: Billing concerns should be handled by the administrative or billing department, not the provider.
C. Have the patient fill out a HIPAA form before proceeding: A HIPAA form is not required for addressing billing concerns; it is for accessing or disclosing protected health information.
D. Recommend the patient contact their bank: The bank is not responsible for billing concerns related to medical services; the issue should be addressed directly with the healthcare facility.