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A web site is a useful tool for providing information about a medical practice to the practice's patients and the general public.

A) True
B) False

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Medical Office Business Procedures/Management

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It seems like you're asking for informat...

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Discuss referral process for patients in a managed care program

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In a managed care program, the referral ...

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At the end of the day, all the money in the cash drawer should be added to the daily bank deposit.

A) True
B) False

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Discuss quality control issues related to handling microbiological specimens

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Quality control issues related to handling microbiological specimens are critical in ensuring accurate and reliable results in clinical and research settings. These issues include proper specimen collection, transportation, storage, and processing to minimize the risk of contamination or degradation of the sample. One of the key quality control issues is ensuring proper collection techniques to prevent contamination of the specimen. This includes using sterile collection devices and following established protocols for collecting different types of specimens, such as blood, urine, sputum, or swabs. Proper labeling and documentation of the specimens are also essential to track their origin and prevent mix-ups. Transportation of microbiological specimens can also pose quality control challenges. Specimens should be transported in a timely manner and under appropriate conditions to maintain their integrity. This may involve using cold packs for temperature-sensitive samples or ensuring secure packaging to prevent leakage or breakage during transit. Proper storage of microbiological specimens is crucial for maintaining their viability and preventing degradation. Specimens should be stored at the appropriate temperature and humidity levels to preserve their integrity until they can be processed. Failure to store specimens correctly can lead to invalid test results and jeopardize patient care. Additionally, processing of microbiological specimens must adhere to strict quality control measures to minimize the risk of contamination and ensure accurate testing. This includes following standardized procedures for sample preparation, culture, and identification, as well as regular monitoring of equipment and reagents for performance and sterility. Overall, effective quality control measures for handling microbiological specimens are essential for maintaining the accuracy and reliability of test results. By addressing these issues, laboratories and healthcare facilities can ensure the integrity of their microbiological testing and ultimately improve patient care and public health outcomes.

Describe procedures for implementing both managed care and insurance plans

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Implementing managed care and insurance plans involves several key procedures. First, it is important to conduct a thorough analysis of the current healthcare needs and utilization patterns of the population that will be covered by the plans. This analysis can help in designing plans that are tailored to the specific needs of the population. Next, it is essential to establish a network of healthcare providers who will be part of the managed care or insurance plans. This involves negotiating contracts with hospitals, physicians, and other healthcare facilities to ensure that plan members have access to a comprehensive range of healthcare services. Once the network is in place, it is important to educate both providers and plan members about the specifics of the plans, including covered services, referral procedures, and cost-sharing arrangements. This can help ensure that both providers and plan members understand how the plans work and can make informed decisions about healthcare utilization. In addition, implementing managed care and insurance plans requires the development of systems for monitoring and managing the quality and cost of healthcare services. This may involve implementing utilization management programs, quality improvement initiatives, and mechanisms for tracking and analyzing healthcare costs and outcomes. Finally, ongoing evaluation and adaptation of the plans is essential. This may involve collecting and analyzing data on plan utilization and outcomes, soliciting feedback from plan members and providers, and making adjustments to the plans as needed to ensure that they continue to meet the needs of the population they serve. Overall, implementing managed care and insurance plans requires careful planning, coordination, and ongoing management to ensure that the plans are effective in providing high-quality, cost-effective healthcare services to their members.

Describe the implications of HIPAA for the medical assistant in various medical settings

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HIPAA, or the Health Insurance Portabili...

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How does the medical assistant verify that a patient's insurance will cover a procedure that will be done in the office?


A) Call the insurance carrier.
B) Call the patient's employer.
C) Make a photocopy of the patient's insurance card and keep it in the file.
D) Call the subscriber of the insurance plan.

E) C) and D)
F) A) and B)

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Why may some physicians in a practice not be accepting patients?


A) They are planning to retire or move
B) They have joined the practice very recently
C) They want to pick and choose patients with interesting conditions
D) They have not yet chosen a medical specialty
E) All of the above

F) B) and C)
G) B) and E)

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A

The medical assistant should perform a visual check of the office and waiting room daily to be sure that there are no safety hazards, such as items blocking hallways.

A) True
B) False

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Every patient must be given a written copy of the office's privacy statement.

A) True
B) False

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What is the purpose of a sliding window between the waiting room and reception desk?


A) To prevent staff from being distracted by noise in the waiting room
B) To prevent patients in the waiting room from hearing confidential patient information
C) To facilitate temperature control of the waiting room
D) To make staff aware of patients entering the waiting room

E) B) and C)
F) A) and D)

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When making an appointment for a patient in a managed care plan who says that he has a referral from another physician, what should the medical assistant tell the patient?


A) The patient will need a letter from the managed care plan in addition to the referral form.
B) It will not be a problem to obtain the referral form after the patient has been seen.
C) The medical assistant will call the managed care company to obtain the completed referral form.
D) The office of the referring physician must provide a written or electronic referral form.

E) A) and B)
F) None of the above

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What is it called when the office accepts payments directly from the insurance company?


A) Assignment of benefits
B) Direct pay
C) Insurance benefits
D) Capitation

E) A) and B)
F) None of the above

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Written referrals usually state which of the following items?


A) How many visits are allowed
B) The problem for which the patient is being referred
C) The name of the physician who is making the referral
D) The name of the physician to whom the patient is being referred
E) All of the above

F) D) and E)
G) B) and D)

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When a physician sees a patient with a managed care referral, the physician is usually allowed to bill charges that insurance does not pay to the patient.

A) True
B) False

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How might the medical assistant prepare the telephone system for the day's activities?


A) Check the fax machine for faxes that have arrived overnight.
B) Notify the answering service that the office is open.
C) Place the handsets of all cordless phones into their chargers.
D) Turn on all office computers and printers.

E) A) and D)
F) B) and C)

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When is the patient placed in an examination room?


A) Immediately after entering the waiting room
B) After the patient's name and date of birth has been verified
C) After all front office paperwork has been completed
D) Before the patient has completed signing the necessary authorization forms

E) A) and D)
F) A) and B)

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Explore the issue of confidentiality as it applies to the medical assistant

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Confidentiality is a critical aspect of ...

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For which of the following patients must the medical assistant verify insurance coverage every time the patient visits the office?


A) Patients with Medicaid
B) Patients with Medicare and Medicaid
C) Patients with any managed care insurance
D) All patients

E) All of the above
F) A) and B)

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