Nha: Medical Assistant(Ccma) Certification Study Guide Graded A+

In medical system is reviewing a Medicare claim denial. The assistant determines that there are charges that exceed the usual, customary, and reasonable fees. Which of the following actions should the assistant take? {Ans: Adjust the patient's account to reflect no unpaid charges and write off the balance. According to Medicare guidelines, the fee schedule must follow the usual, customary, and reasonable requirements for repayment. The charges on the patient's account should be written off.}A medical assistant has requested a preauthorization for a patient's referral to a specialist. Which of the following is a reason for the claim submitted by the specialist to be denied? {Ans: The service is provided after the expiration date. The assistant should recognize that an authorization provided for a specialist indicates a range of dates for evaluation and treatment. Any action taken outside of this range is subject to denial of payment.}A medical assistant is discussing information with a patient about a new medication that the provider prescribed. Which of the following actions should the assistant take? {Ans: Reinforce teaching about the frequency of medication administration. The assistant should reinforce information with the patient about new prescriptions and how to take them.