First question: Which of the following is the appropriate method for a medical assistant to dispose of blood-soiled gauze as per OSHA guidelines (Occupational Safety and Health Administration)? A) In a Sharps container B) In a red biohazard bag C) In a regular waste bag D) In a double bagged regular waste bag The correct answer is B) In a red biohazard bag. A red biohazard bag has a clear, bright red coloring and a biohazard logo on it, indicating that it contains potentially infectious material. These bags are puncture-proof and leak-proof and must be properly sealed. A Sharps container, on the other hand, is a hard plastic container specifically designed for sharpobjects such as syringes and scalpels. Regular waste bags and double-bagged regular waste bags are not sufficient for the disposal of blood-soiled gauze or other potentially infectious materials. Next question: Which of the following may be a reason for a denial of a pre-authorization for a patient's referral to a specialist from a primary care provider? A) The patient has already seen a different specialist B) The services provided after the expiration date C) The patient's spouse saw the same specialist D) The patient has paid his deductible The correct answer is B) The services provided after the expiration date. A pre-authorization is a review process conducted by an insurance company to determine if a proposed medical treatment or referral meets the criteria for coverage. If the services are provided after the expiration date listed on the pre-authorization, the insurance company may deny coverage. The fact that the patient has already seen a different specialist or that the patient's spouse saw the same specialist does not impact the pre-authorization process. The patient's deductible payment is not a reason for denial and may actually indicate that the patient will be able to receive care. Let's look at a question: A co-worker was criminally sanctioned for stealing medications from theoffice. The co-worker was fined, not imprisoned, and the offense was not serious enough to be considered a felony. The medical assistant should identify which of the following represents howthe offense has been categorized? The correct answer is B) A misdemeanor. A misdemeanor is a criminal offense that is less serious than a felony. It is usually punishable by a fine and sometimes imprisonment for a period less than a year. Malpractice and negligence are acts of professional liability and not considered criminal offenses. Non-feasance refers to a failure to fulfill a duty required by law, while malfeasance refers to an intentional act to do something illegal. Finally, let's answer another question: What best describes what a modifier does to a CPT code?
The correct answer is D) Adds more information about the procedure, such as any special or unusual circumstances. A modifier is a two-digit code added to a CPT code to provide additional information about the service or procedure performed. It can change the meaning of a code and ensure proper billing and payment. Modifiers do not adjust the price of the procedure, alter the number of times a procedure can be repeated, or set the level of urgency for the procedure.