Foundational Knowledge Flashcards
Where do you look up diagnosis codes?
ALPHABET INDEX
An example of Durable medical equipment is?
CRUTCHES
When your patient has two parents who both hold insurance, who is primary?
The parent with the first birthday of the year
What is the Doctrine of professional discretion?
The doctor can withhold medical information if it may harm the patient
What part of Medicare covers durable medical equipment?
Part B
What does PCMH stand for in relation to respecting cultural beliefs?
Patient centered medical home
When would preauthorization be denied?
PROCEDURE WAS AFTER APPROVED DATE
What allows the office to release information to the insurance company?
HIPAA
What can occur when using outdated or incorrect codes on a billing claim?
Reduction of payer reimbursement
What procedure required prior authorization?
ENDOSCOPY
What is the first step when scheduling a patient for an outpatient procedure?
Verify Insurance will cover the procedure
What is the correct position for a patient during a colposcopy procedure?
Lithotomy
If the insurance company denies a claim stating ‘preauthorization required’, what should you do?
Submit an appeal for the denied claim
What must the superbill include?
DIAGNOSTIC CODE
What form is needed when billing a third party payer?
CMS 1500
What is within the scope of practice for a Medical Assistant?
FIRST AID PROCEDURES
If a pediatric patient has insurance from both parents, who has primary insurance?
The parent with the earliest birthday
If charges are $200 and the patient has a 90/10 plan, how much will they pay?
$20
What does Affordable Care Organization refer to?
Medicare
What does remittance advice provide?
Details of the claim, including claim denials
What is preauthorization valid for?
A specific time frame
What does workers comp cover?
Care provided when a patient is injured on the job
What happens to charges above typical coverage under Medicare?
They will be written off by the facility
What is an ABN?
Advanced Beneficiary Notice
When should a request for a procedure be approved for a patient with an HMO plan?
Before the appointment
Who is responsible for medical charges if an emancipated minor has them?
The emancipated minor
What microorganism is responsible for Syphilis?
Treponema Pallidum
What microorganism is responsible for Thrush?
Candida/Fungus
Where do controlled substances need to be stored?
IN A LOCKED CABINET
Where is a transdermal patch applied?
ON THE SKIN
What instructions should you give a patient when administering a medication with an enteric coating?
Swallow whole with a glass of water
What medication route is between the cheek and gums?
Buccal Route
What should be spelled out when documenting medications?
The full name
What is the use of antitussive medication?
To reduce/suppress cough
What is nitroglycerin classified as?
Sublingual medication
What should you do when pouring oral medication into a cup?
Have the cup on a flat surface
What should a patient do with insulin before administering it?
Roll the insulin bottle in their hands
What is enteric coating?
Thick coating on oral medication to slow down absorption
What are transdermal medications?
Patches for slow release
What is the effect of epinephrine when used on lacerations?
It helps slow bleeding
What are examples of Schedule II drugs?
Oxycodone
What is the difference between an opiate and an opioid?
Opiates are derived from plants; opioids are synthetic
How do you convert Fahrenheit temperature to Celsius?
Subtract 32, multiply by 5, divide by 9
How many milliliters are in 1 tablespoon?
15 ml
How do you convert pounds to kilograms?
Divide weight in pounds by 2.2
How do you convert height to centimeters?
1 ft = 30 cm
What is BMI calculated as?
Height in inches (squared) X 703
What condition may patients who eat once a day have?
ANOREXIA
How many calories does 1 gram of fat provide?
9 calories
What vitamin is essential for bone health?
VITAMIN D
What are high fiber foods?
- Pears
- Apples
- Carrots
- Bananas
What are fat soluble vitamins?
- A
- C
- D
What should be avoided when collecting a fecal occult blood sample?
Proteins like Chicken and Beef
What stage of grief involves refusing to accept a terminal diagnosis?
DENIAL
What can overwhelming past experiences lead to?
PTSD
If a patient states they will give up ___ to receive ___, what stage of grief might they be in?
BARGAINING
What stage of grief is characterized by trying to buy more time?
BARGAINING
What is the fourth stage of grief?
DEPRESSION
List the stages of grief
- Denial
- Anger
- Bargaining
- Depression
- Acceptance
