Coding Corner Questions: An Office Personnel Quiz

1. A 65-year-old male patient diagnosed with rheumatoid arthritis at multiple sites without rheumatoid factor has been ordered to have infliximab infusions. What should support staff do to ensure this procedure can be given to the patient?
   1. Make sure there is a signed order from the provider
   2. Make sure a prior authorization is obtained
   3. Make sure the patient’s insurance carrier provides coverage
   4. All of the above
2. A 76-year-old female patient diagnosed with age-related osteoporosis is asked by the practice when her last dual-energy X-ray absorptiometry (DXA) scan was; she states over two years ago. What should be done before providing a new scan?
   1. Get the patient to sign an advance beneficiary notice (ABN)
   2. Do nothing and perform the scan
   3. Verify with her Medicare carrier when the last time a DXA scan was performed
   4. A or C
3. A 76-year-old male patient is diagnosed with osteoarthritis in
   his knees. He is seeing the rheumatologist for his second injection only.
   Does the staff schedule this person for an evaluation and management (E/M) visit along with the injection?
   1. No
   2. Yes
4. A 30-year-old female patient is in the office for her third rituximab infusion. What should be done prior to the visit?
   1. Verify insurance benefits
   2. Make sure prior authorization is still valid
   3. A and B
   4. None of the above; just perform the infusion because she has two prior infusions that were reimbursed

Click here for the answer(s).