Patient is 58-year-old white female who presented to her physician's office a week earlier complaining of pain in the finger joints of both hands. She stated her hands and fingers were stiff, swollen, and she had significant pain. She had been trying to manage the pain with over-the-counter NSAIDs, but felt like, "I'm losing the battle." Her physician ordered x-rays of her hands and a variety of
blood work, including ANA, ESR, and CRP tests. She returned to the office for the results of her tests.
On physical exam today, not much has changed in her hands. They are both swollen and very stiff. She rates the pain in her hands as an 8 of 10. Her physician told her that the blood work was positive for rheumatoid arthritis. The x-rays showed swelling of the soft tissues and early signs of erosions in the proximal interphalangeal joints.
First-listed diagnosis: ________________
Fill in the blank with correct word.
Treatment options were reviewed, and based on the patient's preference; she was referred to a rheumatologist for further treatment. A prescription for pain medication was given to the patient, and the referral for the rheumatologist was completed.
Dx: Rheumatoid arthritis
Answer: Rheumatoid arthritis – right hand – M06.841; Rheumatoid arthritis – left hand – M06.842
Secondary diagnoses: Answer: None
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Posting Payments
a. A new patient is on the telephone and would like to know if the doctor can see her next Wednesday for a consultation. b. A patient has come to the front desk to check out after a visit and hands you the superbill. You apply the fees to the patient’s account. c. The doctor wants to know how many routine prenatal patients the physician’s assistant has seen in the office over the past three months. d. There are 43 payment checks from different sources in today’s mail that need to be applied to patient accounts. e. Monthly statements need to be mailed out by the end of this week. The statements need to be prepared and printed. f. A new patient brings his patient information and insurance card(s) to the front desk. The patient needs to be added to the computer’s records. g. The doctor has purchased new laboratory equipment to perform certain tests for patients during their visits. Fifteen CPT codes and fees not previously in the system need to be added for the tests that will now be billed by the office. h. Claims are prepared and submitted electronically to the respective insurance companies for payment.
As a practicing medical assistant, you may be involved in:
A) obtaining patient medical data. B) assisting the patient with special needs. C) charting the patient's pain levels. D) all of the above.
Transcriptionists often use ________ to input medical data.
A. Templates B. Pencils C. Keyboards D. Pens
Which of the following sites are commonly used for manual capillary puncture?
A. Middle finger B. Ring finger C. Heel of the foot on an infant D. All of these