A clinical medical assistant is preparing to bill a patient's insurance for a recent visit. Which of the following actions should the assistant take?
A Choose procedure codes based on the encounter form.
Upcode for greater reimbursement.
Refer to ICD-9 for diagnostic codes.
Enter all data using lowercase letters.
The Correct Answer is A
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 ICD-9 codes have been replaced by ICD-10 codes, which are now the standard for diagnostic coding in the United States. Referring to ICD-9 codes would result in incorrect or outdated billing.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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Lysosomes: Lysosomes contain digestive enzymes that break down waste materials and cellular debris but are not responsible for energy production.
B. Mitochondria: Mitochondria are known as the "powerhouses" of the cell because they produce energy through cellular respiration.
C. Nucleolus: The nucleolus is involved in producing ribosomes and RNA synthesis, not energy production.
D. Microvilli: Microvilli increase the surface area of cells for absorption but do not produce energy.
Correct Answer is B
Explanation
A. 9 to 13 g/dL: This range is below the normal hemoglobin values for an adult male and may indicate anemia.
B. 14 to 18 g/dL: This is the normal range for hemoglobin in an adult male, reflecting healthy oxygen-carrying capacity of the blood.
C. 19 to 22 g/dL: This range is above the normal values and may indicate polycythemia or other conditions leading to increased red blood cell production.
D. 23 to 26 g/dL: This is a significantly elevated level, which is rare and could indicate severe health conditions or laboratory error.
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