Foundational Knowledge

Question 1

Where do you look up diagnosis codes?

Answer 1

ALPHABET INDEX

Question 2

An example of Durable medical equipment is?

Answer 2

CRUTCHES

Question 3

When your patient has two parents who both hold insurance, who is primary?

Answer 3

The parent with the first birthday of the year

Question 4

What is the Doctrine of professional discretion?

Answer 4

The doctor can withhold medical information if it may harm the patient

Question 5

What part of Medicare covers durable medical equipment?

Answer 5

Part B

Question 6

What does PCMH stand for in relation to respecting cultural beliefs?

Answer 6

Patient centered medical home

Question 7

When would preauthorization be denied?

Answer 7

PROCEDURE WAS AFTER APPROVED DATE

Question 8

What allows the office to release information to the insurance company?

Answer 8

HIPAA

Question 9

What can occur when using outdated or incorrect codes on a billing claim?

Answer 9

Reduction of payer reimbursement

Question 10

What procedure required prior authorization?

Answer 10

ENDOSCOPY

Question 11

What is the first step when scheduling a patient for an outpatient procedure?

Answer 11

Verify Insurance will cover the procedure

Question 12

What is the correct position for a patient during a colposcopy procedure?

Answer 12

Lithotomy

Question 13

If the insurance company denies a claim stating ‘preauthorization required’, what should you do?

Answer 13

Submit an appeal for the denied claim

Question 14

What must the superbill include?

Answer 14

DIAGNOSTIC CODE

Question 15

What form is needed when billing a third party payer?

Answer 15

CMS 1500

Question 16

What is within the scope of practice for a Medical Assistant?

Answer 16

FIRST AID PROCEDURES

Question 17

If a pediatric patient has insurance from both parents, who has primary insurance?

Answer 17

The parent with the earliest birthday

Question 18

If charges are $200 and the patient has a 90/10 plan, how much will they pay?

Answer 18

$20

Question 19

What does Affordable Care Organization refer to?

Answer 19

Medicare

Question 20

What does remittance advice provide?

Answer 20

Details of the claim, including claim denials

Question 21

What is preauthorization valid for?

Answer 21

A specific time frame

Question 22

What does workers comp cover?

Answer 22

Care provided when a patient is injured on the job

Question 23

What happens to charges above typical coverage under Medicare?

Answer 23

They will be written off by the facility

Question 24

What is an ABN?

Answer 24

Advanced Beneficiary Notice

Question 25

When should a request for a procedure be approved for a patient with an HMO plan?

Answer 25

Before the appointment

Question 26

Who is responsible for medical charges if an emancipated minor has them?

Answer 26

The emancipated minor

Question 27

What microorganism is responsible for Syphilis?

Answer 27

Treponema Pallidum

Question 28

What microorganism is responsible for Thrush?

Answer 28

Candida/Fungus

Question 29

Where do controlled substances need to be stored?

Answer 29

IN A LOCKED CABINET

Question 30

Where is a transdermal patch applied?

Answer 30

ON THE SKIN

Question 31

What instructions should you give a patient when administering a medication with an enteric coating?

Answer 31

Swallow whole with a glass of water

Question 32

What medication route is between the cheek and gums?

Answer 32

Buccal Route

Question 33

What should be spelled out when documenting medications?

Answer 33

The full name

Question 34

What is the use of antitussive medication?

Answer 34

To reduce/suppress cough

Question 35

What is nitroglycerin classified as?

Answer 35

Sublingual medication

Question 36

What should you do when pouring oral medication into a cup?

Answer 36

Have the cup on a flat surface

Question 37

What should a patient do with insulin before administering it?

Answer 37

Roll the insulin bottle in their hands

Question 38

What is enteric coating?

Answer 38

Thick coating on oral medication to slow down absorption

Question 39

What are transdermal medications?

Answer 39

Patches for slow release

Question 40

What is the effect of epinephrine when used on lacerations?

Answer 40

It helps slow bleeding

Question 41

What are examples of Schedule II drugs?

Answer 41

Oxycodone

Question 42

What is the difference between an opiate and an opioid?

Answer 42

Opiates are derived from plants; opioids are synthetic

Question 43

How do you convert Fahrenheit temperature to Celsius?

Answer 43

Subtract 32, multiply by 5, divide by 9

Question 44

How many milliliters are in 1 tablespoon?

Answer 44

15 ml

Question 45

How do you convert pounds to kilograms?

Answer 45

Divide weight in pounds by 2.2

Question 46

How do you convert height to centimeters?

Answer 46

1 ft = 30 cm

Question 47

What is BMI calculated as?

Answer 47

Height in inches (squared) X 703

Question 48

What condition may patients who eat once a day have?

Answer 48

ANOREXIA

Question 49

How many calories does 1 gram of fat provide?

Answer 49

9 calories

Question 50

What vitamin is essential for bone health?

Answer 50

VITAMIN D

Question 51

What are high fiber foods?

Answer 51

* Pears * Apples * Carrots * Bananas

Question 52

What are fat soluble vitamins?

Answer 52

* A * C * D

Question 53

What should be avoided when collecting a fecal occult blood sample?

Answer 53

Proteins like Chicken and Beef

Question 54

What stage of grief involves refusing to accept a terminal diagnosis?

Answer 54

DENIAL

Question 55

What can overwhelming past experiences lead to?

Answer 55

PTSD

Question 56

If a patient states they will give up ___ to receive ___, what stage of grief might they be in?

Answer 56

BARGAINING

Question 57

What stage of grief is characterized by trying to buy more time?

Answer 57

BARGAINING

Question 58

What is the fourth stage of grief?

Answer 58

DEPRESSION

Question 59

List the stages of grief

Answer 59

* Denial * Anger * Bargaining * Depression * Acceptance