EOPA REVIEW QUESTIONS AND SOLUTIONS

EOPA REVIEW QUESTIONS AND SOLUTIONS The physician hands the medical office assistant the results of the patient's specimen to file. In which of the following categories should the result be filed. Progress notes A patient who is insured by an HMO calls the office stating he received a bill $185. His deductible has already been met and he made the co payment of $10 at the time of service. The HMO paid 80% of the charges. Which of the following parties is responsible for the remaining balance? The patient The medical office assistant mistakenly opens an item of incoming mail "personal" addressed to the Physician. Which of the following actions should the medical office assistant take? Write "opened in error" on the outside of the envelope and initial. Correct order for assigning CPT codes. Review the complete medical documentation Identify the main term of each procedure Locate the main terms in the CPT index Verify the CPT code in the main text Determine and abstract the modifiers from the visit documentation. Paper medical record collected by the clinic are scanned in to the EMR at the end of the day. These should then be Mechanically shredded on site. Which of the following are needed to submit a prior authorization request for medical equipment? ICD-CM and HCPCS codes A patient calls requesting to see her provider with a report of intense burning and urgency upon urination. This an example of which of the following types of special scheduling? Same-day appointment A medical office assistant's knowledge of a statute of limitations for collection an overdue account is an example of managing the collections process while complying with State and federal guidelines An added feature to a patient's insurance policy expanding or placing limits on standard coverage is a Rider The medical office assistant receives an email regarding OSHA updated guidelines. Which of the following should the email be forwarded to? The officer manager An established patient came into the office for a follow-up appointment after an emergency room visit due to shortness of breath. The patient was stabilized and released from the ER the same day. The offie physician plans to perform an ECG to check for any abnormalities. Which of the following is the physician likely to request from emergency room/hospital? Discharge Summary A patient with diabetes has missed all scheduled appointments in the past 18 months. The physician requests that written notification be sent to the patient to make an appointment immediately. This letter should be sent Certified When acting as a scribe for the physician during a patient encounter, the medical office assistant should Confer with the physician after each patient encounter for clarification of any details A patient has refused to pay for a medical procedure that was performed six months ago. The medical procedure was not listed under the patients schedule of benefits, and she is now fully responsible for all costs. Her account has now been turned over to a collection agency. This scenario is mostly likely an example of failure of the medical office assistant to properly Explain the non-coverage billing policies Which of the following is the most likely cause of the deposits not agreeing with the credits on the day sheet or the patient ledgers? Payment is misplaced The medical office assistant is entering data into the EMR tablet while the physician proceeds with the history and exam. However, the assistant was unable to hear a portion of the narrative. Which of the following should the assistant do? Leave the entry blank and flagged for later clarification A parents calls the pediatrician's office very upset because her child is vomiting and has a temperature of 101.1 F. The medical office assistant should Schedule a same day work-in appointment Which of the following hardware can be used to backup electronic date? External drive Both parents of the patient have healthcare coverage through their employers. The father's birthday is December 10th and his policy has been in effect since 2007. The mother's birthday is also on December 10th and her policy has been in effect since 2011. The child's birthday is April 24. Which of the following insurance plans is primary for the child using the birthday rule? The father's A patient falls unconscious while sitting in the office waiting room. Which of the following should the medical office assistant do regarding consent to treat? Treat based on implied consent. Flow charts, process notes, and narrative notation are all examples of Patient information in a medical record A patient has come into the clinic to dispute a charge received from an outside testing lab. Which of the following should the medical office assistant tell the patient? Laboratory charges are billed out by the lab independent of the practice. Laboratory charges are a separate category on most insurance plans. If a provide charges for services that were not performed, it is considered Fraud The medical office assistant is employed by a multiple physician doctor's office and a patient enters the office complaining of chest pain and passes out. A code was called and two physicians respond. While working on the patient, the two physicians get into an argument and subsequently end up in a fist fight. The patient dies. Who is the medical office assistant required to report this incident to? AMA ( American Medical Association)