Page 8 - ractice Exam Questions and rationales

D. down code the code.

Your response:
debate the code.
Correct response:
debate the code.
Rationale: It is within the medical assistant's ethical responsibility to debate the code. It is illegal
to purposely "upcode" an encounter for any reason. The coding system is specific and should be
followed. The office assistant does not have the authority to change, alter, or down code the code
without consulting the physician.
When performing a 12-lead ECG, which of the following positions demonstrates correct lead
placement?

A. V4 is placed left midclavicular 5th intercostal space

B. V4 is placed left midclavicular 4th intercostal space

C. V5 is placed left midaxillary 5th intercostal space

D. V5 is paced left midclavicular 4th intercostal space

Your response:
V4 is placed left midclavicular 5th intercostal space
Correct response:
V4 is placed left midclavicular 5th intercostal space
Rationale: The precordial chest lead is positioned at the apex of the heart, where the apical pulse
is auscultated and Point of Maximal Impulse (PMI) can be felt. V4 is placed on the left
midclavicular 5th intercostal space, at the mitral valve (left ventricular) area.
Which of the following forms must be signed by the patient and kept on file, allowing physicians
to be paid directly from the insurance carrier?

A. HIPAA waiver

B. CMS-1500

C. assignment of benefits

D. living will

Your response:
CMS-1500
Correct response:
assignment of benefits
Rationale: A patient must sign an assignment of benefits form to allow the insurance company to
pay the health care provider directly. The CMS-1500 form is the official standard Medicare and