Each chapter closes with Critical Thinking Questions (listed below) as a review of chapter
material that focuses on the role of the medical assistant. 1. What is the proper order in which to select a diagnosis
code? 2. Why is it necessary to report the most specific diagnosis
codes available? 3. What could result if a medical assistant enters an
incorrect diagnosis code on a claim? 4. How can improving physicians' documentation of
diagnoses and procedures help ensure compliance? 5. A patient asked a medical assistant to help her out of a
tough financial spot. Her medical insurance authorized
her to receive four radiation treatments for her condition,
one every 35 days. Because she was out of town, she did
not schedule her appointment for the last treatment until
today, which is one week beyond the approved period.
The health plan will not reimburse her for this procedure.
The patient asks the MA to change the date on the record
to last Wednesday so that it will be covered, explaining
that no one will be hurt by this change, and anyway, she
pays the insurance company plenty. What type of action is the patient asking the MA to
do? How should the request be handled? |