Prior to scheduling a surgical procedure with a gastroenterologist, which of the following actions should a medical assistant take?
Obtain precertification.
Code the diagnosis and procedure.
Complete the CMS-1500 claim form.
Review the claim information.
The Correct Answer is A
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Correct answer: C
A. Taking aspirin within 12 hr of testing: Aspirin does not generally impact spirometry results.
B. Using sedatives within 1 hr of testing: While sedatives might affect breathing, they are not commonly noted as a significant factor for spirometry test preparation.
C. Exercising 2 hr prior to testing: Exercise can temporarily affect lung function, so it's advised to avoid vigorous exercise before a spirometry test to ensure accurate results.
D. Eating a heavy meal 4 hr prior to testing: Although a heavy meal might cause some discomfort, it is less likely to affect the spirometry results compared to exercise.
Correct Answer is A
Explanation
A. Deflate the cuff slowly until the last sound is heard. The diastolic reading is determined when the last sound (Korotkoff sound) is heard as the cuff is deflated.
B. Listen for the first sound through the stethoscope: The first sound corresponds to the systolic reading, not the diastolic.
C. Document the reading when the gauge needle jumps: The gauge needle jump is not a reliable indicator of blood pressure readings.
D. Inflate the cuff to at least 180 mm Hg, deflate the cuff slowly, and listen for the first sound: Inflating to 180 mm Hg is unnecessary and might cause discomfort; also, the first sound is the systolic reading, not the diastolic
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