Answer:
The correct answer would be option D, Confirm with the provider.
Explanation:
A medical biller is a person who sends medical claims to the insurance companies. A medical biller is responsible for making the document ready to be sent to the payer of the claims. There should be no mistake in the file which is to be sent, so it is the duty of the medical biller to see for them, and if the biller notices that there is something incomplete in the document which is to be sent to the payer or insurance company for claim, then the biller should confirm this from the document provider and complete the document and then send to the company for claim.
being selfless in caring for the wellbeing of your family best describes which type of altruism
Answer:
moral altruism or group altruism.
Answer:
nepotistic altruism
Explanation:
also known as reproductive altruism, is where you act altruistically towards people closely related to oneself
Sarah works in the billing department and notices several claims that haven't been paid after 14 days. What's Sarah's next step?
A. Generate a report
B. Resubmit, it was probably denied
C. Contact the third-party payer
D. Wait for 21 days
the answer is c. unless there is no 3rd party
Sarah's next step after noticing unpaid claims after 14 days should be to contact the third-party payer. This will help clarify if there were any issues leading to non-payment before resubmission is made.
Explanation:The question pertains to the appropriate step Sarah should take after noticing unpaid claims past a 14-day period. The best option for Sarah would be to C. Contact the third-party payer. The reason being, there might be issues or discrepancies resulting in the non-payment of claims. Before any resubmission (option B) is made, it is crucial to understand if there was an initial problem. Immediately resubmitting without understanding why it was unpaid might lead to another denial. Options A and D do not directly address the issue at hand.
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what are the structures of the pulmonary circuit, and in what order does blood run through them?
a)right atrium and ventricle of the heart, pulmonary veins, lungs, pulmonary artery
b) left atrium and ventricle of heart, pulmonary artery, lungs, pulmonary veins
c) right atrium and ventricle of the heart, pulmonary artery, lungs, pulmonary veins
d) left atrium and ventricle of the heart, pulmonary veins, lungs, pulmonary artery
Answer:
I believe it's C
Explanation:
The pulmonary artery channels oxygen-poor blood from the right ventricle into the lungs, where oxygen enters the bloodstream. The pulmonary veins bring oxygen-rich blood to the left atrium.
Final answer:
The structures of the pulmonary circuit, in the correct order of blood flow, include the right atrium, right ventricle, pulmonary arteries, lungs, and pulmonary veins, with c) being the correct answer.
Explanation:
The structures of the pulmonary circuit, in the order that blood flows through them, are as follows:
Right atrium of the heartRight ventricle of the heartPulmonary arteries (including the right and left pulmonary arteries)Lungs (where gas exchange occurs)Pulmonary veins (including the right and left pulmonary veins)Left atrium of the heartThis flow begins with blood entering the right atrium from the systemic circuit, then moving to the right ventricle. From there, it is pumped through the pulmonary arteries to the lungs where it becomes oxygen-rich. Once gas exchange is completed, the oxygenated blood flows into the pulmonary veins and returns to the left atrium, completing the circuit.
The correct answer to the question is c) right atrium and ventricle of the heart, pulmonary artery, lungs, pulmonary veins.
Describe TMJ syndrome
Temporomandibular joint dysfunction (TMD, TMJD) is an umbrella term covering pain and dysfunction of the muscles of mastication (the muscles that move the jaw) and the temporomandibular joints (the joints which connect the mandible to the skull).
TMJ Syndrome is a painful condition that affects the joint connecting the skull and the jawbone, it can be caused by several factors, including arthritis and cartilage wear. Symptoms can vary from pain to the inability to move the jaw. It can be treated with pain management and physical therapies.
Explanation:Temporomandibular Joint (TMJ) Syndrome is a disorder that affects the joint connecting the skull to the jawbone, and potentially can lead to conditions such as arthritis, wear of the articular cartilage, damage to the articular disc, or jaw injury. This syndrome can present with symptoms like pain, difficulty in chewing, headaches, or the inability to move the jaw, also known as lock jaw. Actions such as opening the mouth too wide or a blow to the jaw can cause a dislocation of the joint, making it difficult or impossible to close the mouth. Treatments usually include pharmacological interventions to manage the pain, and physical therapies such as the use of bite guards.
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A 32 year-old patient sees Dr. Smith for a consult at the request of his PCP, Dr. Long, for an ongoing problem with allergies. The patient has failed Claritin and Alavert and feels his symptoms continue to worsen. Dr. Smith performs an expanded problem focused history and exam and discusses options with the patient on allergy management. The MDM is straightforward. The patient agrees he would like to be tested to possibly gain better control of his allergies. Dr. Smith sends a report to Dr. Long thanking him for the referral and includes the date the patient is scheduled for allergy testing. Dr. Smith also includes his findings from the encounter. What E/M code is reported?
The question pertains to choosing an Evaluation and Management (E/M) code for a 32-year-old patient's allergy consultation. A specific E/M code cannot be provided without details on the E/M coding system being used. Allergy medications are avoided before testing to prevent interference with test results.
Explanation:The student is asking for the appropriate Evaluation and Management (E/M) code to report for a patient's consult. In this scenario, a 32-year-old patient consults Dr. Smith, referred by his primary care physician (PCP), Dr. Long, for severe allergy symptoms that have failed to improve with over-the-counter medications. Dr. Smith performs an expanded problem focused history and exam and decides to schedule the patient for allergy testing, with the Medical Decision Making (MDM) being straightforward.
A proper E/M code would rely on several factors, including the setting of the encounter (consultation in an office or other outpatient setting), the complexity of the visit (an expanded problem focused history and exam with straightforward MDM), and the fact that it was an initial consultation service provided by Dr. Smith at the request of another physician. However, without specific details on the E/M coding system being used (e.g., 1995 or 1997 Documentation Guidelines for Evaluation and Management Services), it's not possible to provide a specific E/M code. The provider needs to refer to their current coding manual or coding software and select the code that reflects the service documented.
Patients are often instructed to avoid allergy medications prior to testing because these medications can interfere with the results, potentially leading to false negatives. It's crucial that the test accurately reflects the patient's reaction to the allergens being tested for.
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