Which of the following should a medical assistant recognize as an indication to prematurely terminate a patient's exercise stress test?
Sweating
Bradycardia
Palpitations
Thirst
The Correct Answer is B
A. Sweating: Sweating is a normal physiological response to exercise and is not an indication to terminate the test.
B. Bradycardia: Bradycardia (abnormally slow heart rate) during an exercise stress test can indicate a serious problem and may require premature termination of the test.
C. Palpitations: Palpitations can occur during exercise, but they are not necessarily a reason to terminate the test unless accompanied by other symptoms or abnormalities.
D. Thirst: Thirst is not a contraindication for continuing an exercise stress test.
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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 ICD-9 codes have been replaced by ICD-10 codes, which are now the standard for diagnostic coding in the United States. Referring to ICD-9 codes would result in incorrect or outdated billing.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 B
Explanation
A. Computerized physician order entry: Computerized physician order entry (CPOE) is used by providers to enter and manage orders for tests, medications, and treatments, not for patient requests.
B. Patient portal: A patient portal is a feature of an electronic health record that allows patients to request refills, schedule appointments, and access their health information online.
C. Prescribing guide: A prescribing guide helps providers make decisions about medications but does not allow patients to make requests.
D. Computer on wheels: A computer on wheels (COW) is a mobile workstation used by healthcare providers for various tasks but does not directly facilitate patient requests.