Module 8 Flashcards
Which of the following substances would be the best choice for soaking a bandage that is adhered to a wound?
A. Benzoin
Tincture of benzoin facilitates adhesion of adhesive skin closures and would not be used to remove a bandage.
B. Betadine solution
This is a common antiseptic used in preparation of a surgical site and is not for removing a bandage.
C. Alcohol
This is an organic solvent. It would not be used to remove a bandage and might be painful.
D. Normal saline
This solution is commonly used to assist with the removal of a bandage that has adhered to a wound.
E. Acetone
Acetone is used in astringents for acne and chemical peels, but would not be used to assist with bandage removal.
D. Normal saline
This solution is commonly used to assist with the removal of a bandage that has adhered to a wound.
An Advance Beneficiary Notice is required in which of the following cases?
A. A workers’ compensation case where it is questionable whether the injury occurred at work
An Advance Beneficiary Notice is related to Medicare charges.
B. A retired Air Force veteran who needs a referral to a surgeon’s office
An Advance Beneficiary Notice is related to Medicare only.
C. The patient is Medicare-eligible, but has not yet received his Medicare card
Medicare cards are issued approximately 60 days in advance of eligibility and an Advance Beneficiary Notice would not have impact in this case.
D. A Medicaid-eligible patient who is pregnant but does not yet have coverage
This can vary by state, but most states have retroactive eligibility and an Advance Beneficiary Notice is not related to Medicaid coverage.
E. A Medicare patient has a procedure or test that may not be covered by Medicare
In this situation, the patient must be notified that Medicare may not pay or the bill is uncollectable.
E. A Medicare patient has a procedure or test that may not be covered by Medicare
In this situation, the patient must be notified that Medicare may not pay or the bill is uncollectable.
Which of the following is a measurement of the percentage of erythrocytes in a volume of whole blood?
A. Blood cell differential
The blood cell differential identifies the percentage of each type of white blood cell .
B. Hematocrit
This is a common laboratory test for anemia that determines the percentage of red blood cells in a volume of whole blood.
C. Hemoglobin determination
This is a common test for anemia that measures the amount of hemoglobin (oxygen carrying protein in the red blood cells) in whole blood.
D. Erythrocyte sedimentation rate
This is a screening test for inflammation that measures how fast red blood cells settle in a sample of whole blood.
E. Red blood cell morphology
This is the microscopic exam of red blood cells to determine their size and shape.
B. Hematocrit
This is a common laboratory test for anemia that determines the percentage of red blood cells in a volume of whole blood.
Which of the following is a primary function of oxytocin?
A. Promotes the growth of breast tissue
This is a function of estrogen.
B. Prevents nausea during pregnancy
This is not a documented function of oxytocin.
C. Causes uterine contractions
The pituitary gland releases oxytocin, which stimulates a pregnant uterus.
D. Enhances nutrient absorption through the placenta to the fetus
Estrogen and progesterone from the placenta take over this endocrine function.
E. Decreases the production of breast milk
Oxytocin enhances the production of breast milk.
C. Causes uterine contractions
The pituitary gland releases oxytocin, which stimulates a pregnant uterus.
The medical assistant takes vital signs on a male patient age 25 and records a Body Mass Index (BMI) of 34 into the EMR. The patient is most at risk for which of the following conditions?
A. Kyphoscoliosis
This is a deformity of the spine on coronal and sagittal planes. In the majority of cases there is no known cause for this condition.
B. Sleep Apnea
A BMI over 25 can lead to other conditions such as sleep apnea, hypertension, and stroke.
C. Vitiligo
This is a condition that causes loss of skin color in patches and is not related to BMI.
D. Pulmonary Hypertension
This is a type of high blood pressure that affects the lungs and the right side of the heart and is not directly linked to BMI.
E. Osteomyelitis
This is an infection of the bone and bone marrow and does not result from high BMI.
B. Sleep Apnea
A BMI over 25 can lead to other conditions such as sleep apnea, hypertension, and stroke.
Which of the following would describe the correct term when an insurance claim is submitted with an invalid procedure code?
A. Denied
A claim is denied for non-coverage, policy coverage issues, etc.
B. Paid
A claim would not be paid with an invalid procedure code.
C. Rejected
A claim is rejected when it contains a technical error such as missing or incorrect data.
D. Suspended
A claim is suspended when it needs additional information or needs to be reviewed further by the payer.
E. Appealed
An appeal is a process for resubmitting a claim to resolve and receive payment for a denied claim.
C. Rejected
A claim is rejected when it contains a technical error such as missing or incorrect data.
The medical assistant is preparing an 18-year-old male of average size for a routine physical. Which of the following results will most likely require further follow-up by the physician?
A. Respirations 18/min
This is considered to be within normal limits of 12-20 respirations per minute.
B. Resting O2 saturation of 98%
This is considered to be within normal limits for an adult male.
C. Temperature 36.9 C (98.4 F)
This is considered to be within normal range of 36.1 C to 37.2 C (97 F to 99 F).
D. Blood pressure 140/92 mm Hg
This is an elevated blood pressure and is consistent with stage I hypertension.
E. Hemoglobin 14.4 g/dl
This hemoglobin reading falls with the normal range for an adult male (14-18 g/dl)
D. Blood pressure 140/92 mm Hg
This is an elevated blood pressure and is consistent with stage I hypertension.
The medical assistant collects a patient’s urine specimen to be sent out for culture. It is very important to have the following on the label: Patient name and date of birth; provider name and the initials of who collected the specimen. What additional information is needed for proper labeling?
A. Initials of the patient
Since the patient’s full name is on the specimen, it is not necessary to include the initials of the patient.
B. Total volume collected
As long as the minimum amount of urine needed is collected, there is no need to denote the total amount of urine collected.
C. Length of time specimen was refrigerated.
It is not necessary to report the length of time of refrigeration.
D. Date and time collected
On all specimens collected in the office, it is important to include the date of collection as well as the time of collection.
E. Patient phone number
While it is important for the clinic to have the patient’s phone number, it is not necessary on the label.
D. Date and time collected
On all specimens collected in the office, it is important to include the date of collection as well as the time of collection.
An age analysis of accounts receivable is a valuable process in which of the following?
A. Financial management
An age analysis helps the financial office recognize when accounts are past due and allows for collection planning activities.
B. A study of referral patterns
Referral patterns give information for patient access to additional medical services, but are not financial tools.
C. A medical record system
Medical record systems contain patient health information, but do not provide financial information.
D. An appointment control system
Appointment systems are used as time management tools, not financial tools.
E. A patient census
Information from a patient census gives information about how many patients are seen in a given time frame, but does not help with collections.
A. Financial management
An age analysis helps the financial office recognize when accounts are past due and allows for collection planning activities.
Which of the following actions should be taken by the medical assistant when a patient calls the office wanting to make payment arrangements after his account has been turned over to a collection agency?
A. Tell the patient to come to the office to fill out a Truth in Lending Form
A Truth in Lending Form must be completed when there are arrangements for the patient to pay in installments. This must be done at the time of the agreement, not after the account has been turned over to collections.
B. Set up a payment schedule over the phone
The time to set up a payment schedule is prior to the account being sent to collections.
C. Advise the patient that you can accept payments, but they must be made in cash
This may be the payment arrangement the office will put in place going forward, but the current amount due must be handled by the collection agency.
D. Refer the patient to the collection agency
The collection agency now owns the account and payments and payment arrangements must be made through them.
E. Tell the patient the office can accept only the total amount due plus the agency fee
The account now belongs to the collection agency; the office should not accept payment after an account has been turned over to collections.
D. Refer the patient to the collection agency
The collection agency now owns the account and payments and payment arrangements must be made through them.
Which of the following laboratory test results should be brought to the immediate attention of the physician?
A. Fasting glucose 40 mg/dl
This would be hypoglycemia and considered a critically low blood glucose level. If the blood glucose level is too low, it could result in brain damage.
B. White blood cell count of 9,900/microliter
Generally a white blood cell count that is less than 10,000/microliter is considered to be a normal count.
C. Fasting triglycerides 150 mg/dl
While a triglyceride level of 150 mg/dl is considered borderline high, it would not be considered a critical level that needs immediate medical attention.
D. Hemoglobin 14 g/dl
A hemoglobin level of 14 g/dl is considered a normal level of hemoglobin.
E. Fasting total cholesterol 200 mg/dl
While this cholesterol value is at the high end of normal, it would not be a critical value that should be immediately reported.
A. Fasting glucose 40 mg/dl
This would be hypoglycemia and considered a critically low blood glucose level. If the blood glucose level is too low, it could result in brain damage.
Which of the following is the neurotransmitter necessary for the transmission of the electrical impulse from a nerve to a muscle?
A. Sodium
Although the flow of sodium through ion channels is involved in electrical impulses, it is not considered a neurotransmitter.
B. Epinephrine
Epinephrine is a neurohormone. It is not considered a neurotransmitter.
C. Potassium
Although potassium can flow through ion channels in both nerves and muscles, it is not considered a neurotransmitter.
D. Calcium
Although calcium can flow through ion channels in both nerves and muscles, it is not considered a neurotransmitter.
E. Acetylcholine
Acetylcholine is a neurotransmitter that is released at neuromuscular (nerve-muscle) junctions. It facilitates transmission of the electrical impulse from a nerve to a muscle.
E. Acetylcholine
Acetylcholine is a neurotransmitter that is released at neuromuscular (nerve-muscle) junctions. It facilitates transmission of the electrical impulse from a nerve to a muscle.
Which of the following is the term for an abnormal increase of red blood cells in urine?
A. Oliguria
Oliguria means decreased urine production.
B. Hematuria
Hematuria means red blood cells in the urine.
C. Anuria
Anuria means no urine is being produced.
D. Pyuria
Pyuria means an increase in white blood cells in the urine (pus in the urine).
E. Uremia
Uremia is the presence of urine waste products in the blood.
B. Hematuria
Hematuria means red blood cells in the urine.
The following codes were submitted to a private insurance company for reimbursement for an established patient with insulin dependent diabetes mellitus who was seen in the office. The patient had a blood test to check his glycosylated hemoglobin. (A1c) level and a detailed history and physical examination (level 4 Evaluation and Management service) for circulatory problems. Diagnosis Code: D51.0(pernicious anemia) CPT 99214 level 4 established patient EM service CPT 83036 glycosylated(A1c) hemoglobin This insurance claim would most likely be denied due to which of the following reasons?
A. Upcoding
Upcoding is reporting a higher level of service than was performed. This does not appear to be the case.
B. Unbundling of charges
This is not an example of unbundling.
C. Lack of demonstrating medical necessity
Medical necessity is demonstrated when the diagnosis supports necessity of the CPT code.This ICD code does not support a hemoglobin A1c test.
D. Lack of appropriate HCPCS code
No HCPCS code is required on this claim form.
E. Lack of appropriate modifier
No modifier is required.
C. Lack of demonstrating medical necessity
Medical necessity is demonstrated when the diagnosis supports necessity of the CPT code.This ICD code does not support a hemoglobin A1c test.
Which of the following pairs of words are synonymous?
A. Cephalgia and stroke
Cephalgia means headache. Cerebrovascular accident is synonymous with stroke.
B. Coryza and heart
“Coryza” means acute rhinitis or head cold. “Cor” means heart.
C. Herpes simplex and shingles
Herpes zoster is synonymous with shingles. Herpes simplex causes cold sores or genital sores.
D. Dysphagia and difficult breathing
Dysphagia means difficulty swallowing. Dyspnea means difficulty breathing.
E. Micturition and urination
Micturition is another term for urination.
E. Micturition and urination
Micturition is another term for urination.