Lom Chap 13-sxs Chap 24-health Ins Chap 15-ess Chap 1

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1. The ___________ panel consists of a CBC, hepatitis B, rubella, syphilis test, antibody screen, blood typing ABO and RH

Explanation

The given correct answer is "obstetric." This panel is specifically designed for obstetric purposes, as it includes tests such as CBC (complete blood count), hepatitis B, rubella, syphilis test, antibody screen, and blood typing ABO and RH. These tests are commonly performed during pregnancy to ensure the health of both the mother and the baby.

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About This Quiz
Lom Chap 13-sxs Chap 24-health Ins Chap 15-ess Chap 1 - Quiz

This quiz focuses on identifying accented syllables in medical terms and understanding key concepts in hematology. It is designed for learners to enhance their medical vocabulary and comprehension,... see morerelevant to health and medical studies. see less

2. Immunology codes are used to report conditions of the __________system

Explanation

The correct answer is "immune." Immunology codes are used to report conditions of the immune system. The immune system is responsible for protecting the body against infections and diseases by recognizing and attacking foreign substances. Immunology codes are used to classify and document various immune-related conditions, such as autoimmune disorders, allergies, and immunodeficiencies. These codes help in accurately documenting and billing for medical services related to the immune system.

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3. The range of codes in the cytopathology subsection of the CPT manual is ________-_________

Explanation

The given answer, 88104-88199, represents the range of codes in the cytopathology subsection of the CPT manual. These codes are used to identify and bill for various cytopathology procedures, such as the examination of cells and tissues under a microscope. The range starts with code 88104 and ends with code 88199, encompassing a wide range of specific procedures within the field of cytopathology.

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4. Urinalysis codes are for __________ test performed on urine
Chemistry codes are for ____________tests performed on material from any source

Explanation

Urinalysis codes are used to identify nonspecific tests performed on urine samples, while chemistry codes are used to identify specific tests performed on material from any source. This means that urinalysis codes are not limited to urine samples only, whereas chemistry codes can be used for tests performed on various materials. The term "nonspecific" indicates that urinalysis tests are not focused on a particular substance or component, while "specific" suggests that chemistry tests target specific substances or components in the material being tested.

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5. Established patients should be required to re-verify their information form

Explanation

Established patients should be required to re-verify their information at least annually to ensure that the information on file is accurate and up to date. This allows healthcare providers to have the most current information about the patient, such as changes in contact details, insurance coverage, or medical history. Regular verification helps in maintaining the quality of care and prevents any potential errors or misunderstandings that could arise from outdated information.

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6. A common error that can cause a claim to be rejected is

Explanation

All of the above options can cause a claim to be rejected. An incorrect patient ID number can lead to confusion and incorrect billing. A missing physician's EIN number can result in the claim not being properly linked to the physician. Invalid CPT or ICD-9 codes can make the claim ineligible for reimbursement as they indicate incorrect or unsupported procedures or diagnoses. Therefore, any of these errors can result in a claim being rejected.

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7. How frequently claims are submitted can vary depending on

Explanation

The frequency of claim submissions can vary depending on multiple factors. The size of the practice plays a role as larger practices may have more patients and therefore more claims to submit. Office staffing also affects the frequency as practices with limited staff may have longer processing times for claims. Additionally, the type of claim can impact the frequency, as different types of claims may have different submission requirements. Therefore, all of the given options - the size of the practice, office staffing, and the type of claim - can influence how frequently claims are submitted.

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8. A written appeal request must contain

Explanation

A written appeal request must contain both the beneficiary's name and Medicare health insurance claim number. These two pieces of information are crucial for identifying the individual and their specific claim. Including both a and b ensures that the appeal request is complete and can be properly processed by the relevant authorities. The former employer's name is not necessary for a written appeal request and is therefore not included in the correct answer.

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9. Patients should be required to updated their information forms at least annually

Explanation

The statement suggests that patients should be obligated to update their information forms on a yearly basis. This requirement ensures that the healthcare provider has the most up-to-date information about the patient, including any changes in medical history, contact details, or insurance information. Regular updates help maintain accurate records and enable healthcare providers to provide appropriate and timely care.

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10. When a patient signs an assignment of benefits, he or she is authorizing the insurance carrier to send payment directly to the healthcare provider

Explanation

When a patient signs an assignment of benefits, it means that they are giving permission to their insurance carrier to send the payment directly to the healthcare provider. This allows the healthcare provider to receive the payment for services rendered without the patient having to handle the payment process themselves. It simplifies the billing process and ensures that the healthcare provider receives timely payment from the insurance company.

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11. An explanation of benefits (EOB) is sometimes called a remittance advice (RA)

Explanation

An explanation of benefits (EOB) is indeed sometimes called a remittance advice (RA). This is because both terms refer to a statement or document that is provided by a healthcare insurance company to the insured individual or healthcare provider, explaining the details of a claim. The EOB or RA typically includes information about the services rendered, the amount billed, the amount covered by insurance, and any remaining balance. The terms EOB and RA are often used interchangeably in the healthcare industry.

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12. Downcoding is when claims are submitted with outdated, deleted, or nonexistent CPT codes

Explanation

Downcoding refers to the practice of submitting claims with incorrect or outdated CPT codes. This means that the codes used to bill for a particular medical procedure or service are no longer valid or do not exist. This can lead to claim denials or reimbursement at a lower rate than what was actually provided, resulting in financial loss for healthcare providers. Therefore, the statement that downcoding is when claims are submitted with outdated, deleted, or nonexistent CPT codes is true.

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13. Before appealing a claim, the health insurance professional should notify the insurer in writing that there has been an error

Explanation

Before appealing a claim, it is important for the health insurance professional to notify the insurer in writing about the error. This notification serves as a formal communication to inform the insurer about the mistake and initiate the appeals process. By notifying the insurer in writing, there is a documented record of the error, which can help in resolving the claim more efficiently and effectively. It also ensures that all parties involved are aware of the situation and can take appropriate actions to rectify the error.

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14. Tumor grade is determine through a microscopic evaluation of the tumor or a biopsy specimen

Explanation

Tumor grade is determined through a microscopic evaluation of the tumor or a biopsy specimen. This is because the grade of a tumor refers to its level of abnormality or aggressiveness, which can only be accurately assessed through a detailed examination of the tumor cells under a microscope. By analyzing the characteristics of the tumor cells, such as their size, shape, and differentiation, pathologists can assign a grade to the tumor, which helps in determining the prognosis and guiding the treatment decisions for the patient.

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15. Biopsy

Explanation

The term "biopsy" refers to the process of removing a small sample of tissue from the body for further examination under a microscope. This procedure is typically done to diagnose or determine the nature of a disease, such as cancer. By analyzing the tissue sample, pathologists can identify any abnormalities or changes that may be present, helping to guide appropriate treatment decisions. Therefore, the excision of tissue for microscopic examination is the correct explanation for the term "biopsy".

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16. Give the accented syllable in the following terms:
anisocytosis:

Explanation

The accented syllable in the term "anisocytosis" is "to".

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17. Give the accented syllable in the following terms:
anticoagulant:

Explanation

The accented syllable in the term "anticoagulant" is "ag".

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18. Give the accented syllable in the following terms:
eosinophil:

Explanation

In the term "eosinophil," the accented syllable is "sin."

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19. Give the accented syllable in the following terms:
myelodysplasia:

Explanation

The accented syllable in the term "myelodysplasia" is "plas". This can be determined by breaking down the word into its individual syllables and identifying which syllable is stressed or emphasized when pronouncing the word. In this case, "mye-lo-dys-pla-si-a", the syllable "plas" is stressed.

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20. Give the accented syllable in the following terms:
leukocytopenia:

Explanation

The accented syllable in the term "leukocytopenia" is "pe".

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21. Protein threads that form the basis of a blood clot

Explanation

Fibrin is a protein that plays a crucial role in the formation of blood clots. When there is an injury or damage to blood vessels, fibrinogen, another protein, is converted into fibrin through a series of enzymatic reactions. Fibrin forms a mesh-like structure, trapping platelets and red blood cells to form a clot, preventing excessive bleeding. This clotting process is essential for wound healing and preventing blood loss. Therefore, fibrin is the correct answer as it is directly related to the formation of blood clots.

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22. Time required for venous blood to clot in a test tube

Explanation

The term "coagulation time" refers to the amount of time it takes for blood to clot. In the context of the given question, the time required for venous blood to clot in a test tube is being discussed. This is related to the process of coagulation, which is the formation of a blood clot to stop bleeding. Therefore, "coagulation time" is the most appropriate answer as it directly relates to the topic being discussed.

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23. Proteins made by lymphocytes in response to antigens in the blood: _____________

Explanation

Lymphocytes are a type of white blood cells that play a crucial role in the immune response. When antigens (foreign substances) enter the bloodstream, lymphocytes produce proteins called immunoglobulin antibodies to recognize and neutralize these antigens. These antibodies are specialized molecules that bind to specific antigens, marking them for destruction by other immune cells. Therefore, immunoglobulin antibodies are the proteins made by lymphocytes in response to antigens in the blood.

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24. Any blood disorder: dys_________

Explanation

The term "dyscrasia" refers to any abnormal or pathological condition of the blood. It is a broad term that encompasses various blood disorders, including abnormalities in the composition or function of blood cells, clotting disorders, and immune system disorders affecting the blood. The prefix "dys-" indicates abnormality or impairment, while "crasia" refers to the mixture or composition of a substance, in this case, the blood. Therefore, "dyscrasia" is a suitable term to describe any blood disorder.

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25. Symptoms of disease return: Re__________

Explanation

When the symptoms of a disease return, it indicates a relapse. A relapse refers to the recurrence or reappearance of symptoms after a period of improvement or recovery. It suggests that the disease was not completely eradicated or cured, and the individual has experienced a setback in their condition. The term "lapse" can also be used to describe a temporary or brief return of symptoms, further supporting the idea of a relapse.

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26. Study of the shape of cells: ____________ology

Explanation

The study of the shape of cells is known as morph.

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27. A cell that engulfs another cell: ___________cyte

Explanation

The term "phago" is derived from the Greek word "phagein," which means "to eat." In the context of the question, a cell that engulfs another cell is referred to as a "phagocyte." This type of cell has the ability to engulf and digest foreign particles, such as bacteria or dead cells, through a process called phagocytosis. Therefore, the correct answer is "phago."

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28. Kary/o

Explanation

The term "kary/o" refers to the nucleus of a cell. The nucleus is a membrane-bound organelle found in eukaryotic cells, which contains the genetic material of the cell in the form of DNA. It is responsible for controlling the activities of the cell and plays a crucial role in cell division and reproduction. Therefore, the correct answer for this question is "nucleus," as it accurately represents the meaning of the term "kary/o."

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29. Neutr/o

Explanation

The term "neutr/o" refers to the combining form for "neutral." In this context, "neutral" is used to describe something that is impartial or unbiased, not favoring one side over another. It can also refer to something that has no charge or is neither acidic nor alkaline. Therefore, the correct answer is "neutral."

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30. Sider/o

Explanation

The term "sider/o" refers to iron. This is evident from the given answer "iron," which directly corresponds to the term "sider/o." Therefore, "iron" is the correct answer for the given question.

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31. Phag/o

Explanation

The term "phag/o" is derived from the Greek word "phagein" which means "to eat" or "to swallow". It is commonly used as a combining form in medical terminology to indicate processes or conditions related to eating or swallowing. Therefore, the correct answer is "eat, swallow".

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32. Thromb/o

Explanation

The term "thromb/o" refers to clot formation. Therefore, the correct answer "clot" accurately represents the meaning of the term.

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33. -apheresis

Explanation

The term "apheresis" refers to the process of removing or carrying away something. This could be applied to various contexts, such as medical procedures where blood is separated into its components, or linguistics where a word is shortened by removing one or more syllables. In both cases, the concept of "removal" or "carrying away" is involved. Therefore, the given answer accurately describes the meaning of "apheresis".

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34. -cytosis

Explanation

The term "-cytosis" is a suffix that is commonly used in medical terminology. It is derived from the Greek word "kytos" which means cell. When this suffix is added to a word, it indicates an abnormal condition of cells. In this case, "-cytosis" refers to an abnormal condition of cell.

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35. -stasis

Explanation

The word "stasis" refers to a state of stability or balance. It can also mean a halt or stoppage in a process or progression. Additionally, "stasis" can imply control or regulation over a situation. Therefore, the correct answer for this question is "stop, control" as both meanings accurately describe the word "stasis".

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36. -oid

Explanation

not-available-via-ai

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37. Hypo-

Explanation

The prefix "hypo-" means "under" or "deficiency". It is used to indicate a lack or insufficiency of something. For example, in medical terms, "hypothyroidism" refers to an underactive thyroid gland. Similarly, "hypoglycemia" is a condition characterized by low blood sugar levels. Therefore, the correct answer is "under, deficiency".

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38. Mega-

Explanation

The prefix "mega-" means "large" or "great." In this context, "mega-" is used to indicate something of a large scale or size. Therefore, the correct answer is "large."

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39. Micro-

Explanation

The prefix "micro-" means extremely small or on a very small scale. Therefore, when combined with the word "small," it emphasizes the idea of being very small in size.

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40. Mono-

Explanation

The prefix "mono-" means "one". It is commonly used in words to indicate singularity or a single entity. In this case, "one" is the correct answer because it directly translates the meaning of the prefix "mono-".

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41. Poly-

Explanation

The prefix "poly-" means "many" or "much." It is derived from the Greek word "polys," which also means "many." This prefix is commonly used in various words to indicate a large quantity or number. For example, "polygamy" refers to having multiple spouses, "polytechnic" refers to an institution that offers many technical courses, and "polyglot" refers to someone who speaks many languages. Therefore, the correct answer is "many, much."

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42. Services in pathology/laboratory are provided by a physician or by technologists under responsible supervision of a physician

Explanation

The statement is true because services in pathology and laboratory settings can be provided by either a physician or by technologists who work under the supervision of a physician. This ensures that the services are carried out by qualified individuals who have the necessary expertise and knowledge in pathology and laboratory procedures. The physician's supervision is important to ensure accuracy, quality control, and proper interpretation of the results.

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43. A service that is rarely provided, unusual, variable or new would always require a special report in determining medical appropriateness of the service

Explanation

A service that is rarely provided, unusual, variable, or new may require a special report to determine its medical appropriateness. This is because such services may not have established guidelines or evidence-based practices to assess their effectiveness or safety. Therefore, a special report would be necessary to evaluate the service and determine if it is appropriate for a patient's medical condition.

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44. Pathologists have specific codes for clinical pathology consultations

Explanation

Pathologists do indeed have specific codes for clinical pathology consultations. These codes are used to accurately document and bill for the services provided during these consultations. By assigning specific codes, pathologists can ensure that the correct procedures and tests are being documented and that the appropriate reimbursement is received. These codes also help in tracking and analyzing data related to clinical pathology consultations, which can be used for research, quality improvement, and decision-making purposes.

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45. Quantitative analysis is defined as

Explanation

The correct answer is determining the amounts and proportions of chemical constituents. This definition of quantitative analysis refers to the process of measuring and quantifying the amounts of different chemical components present in a substance. It involves techniques such as spectroscopy, chromatography, and titration to determine the concentrations or proportions of these constituents accurately. By quantifying the chemical components, scientists can gain insights into the composition, purity, and properties of a substance, which is essential in various fields such as chemistry, pharmaceuticals, and environmental science.

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46. Immature red blood cell

Explanation

An erythroblast is an immature red blood cell. It is the precursor to mature red blood cells and is found in the bone marrow. Erythroblasts go through several stages of development before they become fully functional red blood cells. They are characterized by their large size and their ability to synthesize hemoglobin. Once they have matured, they lose their nucleus and other organelles, allowing them to efficiently transport oxygen throughout the body.

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47. Symptoms of disease return

Explanation

Relapse refers to the return or recurrence of symptoms of a disease after a period of improvement or remission. It implies that the condition has worsened or reappeared after a temporary recovery. In the context of the given options, relapse is the most appropriate term to describe the reappearance of symptoms. Palliative refers to the treatment aimed at relieving symptoms rather than curing the disease. Hemoglobinopathy refers to a group of genetic disorders affecting the structure or production of hemoglobin. Remission refers to a period of improvement or absence of symptoms. Spherocytosis is a hereditary condition characterized by abnormal red blood cells.

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48. Relieving symptoms, but not curing disease

Explanation

The term "palliative" refers to a type of medical care that focuses on relieving symptoms and improving the quality of life for patients, rather than curing the underlying disease. In this context, the correct answer suggests that the treatment or intervention being discussed is aimed at providing relief from symptoms associated with a particular condition, but it does not offer a cure for the disease itself.

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49. Process of clotting

Explanation

Coagulation refers to the process of clotting, which is the body's natural response to stop bleeding. When a blood vessel is damaged, a series of complex reactions occur to form a clot, which seals the wound and prevents further blood loss. The correct spelling of this term is "coagulation."

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50. Large cell that engulfs foreign material and worn out red cells

Explanation

A macrophage is a large cell that is capable of engulfing foreign material and worn out red blood cells. It is part of the immune system and plays a crucial role in the process of phagocytosis, where it engulfs and destroys pathogens or cellular debris. The term "macrophage" is the correct spelling for this type of cell.

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51. Select the term that is spelled correctly

Explanation

The term "fibrinogen" is spelled correctly. The alternative option "fibrinogin" contains a spelling error with the addition of an extra "i" in the middle of the word.

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52. Select the term that is spelled correctly

Explanation

The term "platelet" is spelled correctly. A platelet is a small colorless disk-shaped cell fragment without a nucleus, found in large numbers in blood and involved in clotting.

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53. Select the term that is spelled correctly

Explanation

The term "thalassemia" is spelled correctly. Thalassemia is a genetic blood disorder characterized by abnormal hemoglobin production, leading to anemia. The correct spelling of the term is "thalassemia," not "thallassemia."

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54. Change in structure and function of a cell as it matures; specialization

Explanation

Differentiation refers to the process in which a cell becomes specialized and acquires specific functions as it matures. This process involves changes in both the structure and function of the cell. In the given options, thrombosis, megakaryocyte, albumin, and sideropenia do not directly relate to the concept of cell maturation and specialization. Therefore, the correct answer is differentiation (E).

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55. Deficiency of iron

Explanation

Sideropenia refers to a deficiency of iron in the body. Iron is essential for the production of red blood cells, which carry oxygen throughout the body. Without enough iron, the body is unable to produce an adequate amount of red blood cells, leading to a condition called anemia. Thrombosis, differentiation, megakaryocyte, and albumin are not related to iron deficiency.

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56. If the health insurance professional believes a claim has been wrongly denied, he/she can

Explanation

If a health insurance professional believes that a claim has been wrongly denied, they can file an appeal. This means that they can formally request a review of the denied claim, providing any necessary additional information or evidence to support their case. Filing an appeal is a common practice in the insurance industry to address disputes and seek a reconsideration of the initial decision. It allows the professional to challenge the denial and potentially have the claim approved after further evaluation.

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57. The claims process actually starts with the patients appointment

Explanation

The given statement is true. The claims process indeed starts with the patient's appointment. This is because when a patient schedules an appointment with a healthcare provider, their personal and insurance information is collected. This information is then used to initiate the claims process. The healthcare provider submits a claim to the insurance company for the services provided during the appointment. The insurance company then processes the claim and reimburses the healthcare provider accordingly. Therefore, the patient's appointment is the starting point for the claims process.

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58. After the patient information form is completed, the health insurance professional should check it over to ensure the information is complete and legible

Explanation

After the patient information form is completed, it is important for the health insurance professional to check it over to ensure that all the necessary information has been provided and that it is readable. This is crucial to avoid any potential errors or misunderstandings in the insurance process. By reviewing the form, the professional can identify any missing or unclear information and take the necessary steps to rectify it, ensuring a smooth and accurate insurance claim process.

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59. The EIN is a 9 digit number that serves as a taxpayers identifying number

Explanation

The explanation for the given answer is that the EIN (Employer Identification Number) is indeed a 9-digit number that is used to identify taxpayers for various purposes. It is typically assigned to businesses and other entities by the Internal Revenue Service (IRS) in the United States. The EIN is used for tax filing, reporting, and communication with the IRS. Therefore, the statement that the EIN serves as a taxpayer's identifying number is true.

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60. When a claims error is discovered that could result in inaccurate reimbursement, a corrected claim should be prepared and submitted according to the payers guidelines

Explanation

When a claims error is discovered that could result in inaccurate reimbursement, it is important to prepare and submit a corrected claim according to the payers guidelines. This is necessary to ensure that the healthcare provider receives the correct reimbursement for the services rendered. Failing to do so may lead to financial loss for the provider and potential inaccuracies in the patient's medical records. Therefore, it is crucial to follow the payer's guidelines and submit a corrected claim to rectify any errors and ensure accurate reimbursement.

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61. EOB's can only be submitted in an electronic format

Explanation

The statement suggests that EOB's (Explanation of Benefits) can only be submitted in an electronic format. However, this is not true. EOB's can be submitted in both electronic and paper formats depending on the preference of the healthcare provider or insurance company. Therefore, the correct answer is false.

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62. There are five different levels of the medicare appeals process

Explanation

The statement is true because there are indeed five different levels in the Medicare appeals process. These levels include the redetermination, reconsideration, Administrative Law Judge hearing, Medicare Appeals Council review, and federal court review. At each level, individuals have the opportunity to appeal a decision made by Medicare regarding their healthcare coverage or claims. These levels provide a structured process for individuals to challenge and seek resolution for any issues or disputes they may have with Medicare.

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63. A telephone hearing is one of three ways in which a request for fair hearing can be pursued

Explanation

A telephone hearing is indeed one of the three methods available to pursue a request for a fair hearing. This means that individuals who wish to have their case heard and resolved can choose to participate in a hearing over the phone, along with two other options. It provides a convenient alternative for those who may not be able to attend an in-person hearing due to various reasons.

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64. Pain may be described as

Explanation

The correct answer is "all of the above" because pain can be described in various ways depending on the individual's perception and the underlying cause. It can be dull and aching, burning, throbbing, shooting, dull, stabbing, frightening, intense, or tiring. This broad range of descriptions highlights the subjective nature of pain and the different ways it can be experienced by different people.

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65. Products lacking FDA approval may mean ingredients listed outside the bottle may not be inside the bottle or in the amount listed

Explanation

The statement suggests that products lacking FDA approval may not contain the ingredients listed on the bottle or may not have the correct amount of those ingredients. This means that the product may not be safe or effective for use. Therefore, the answer "true" indicates that the statement is correct.

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66. A large cell that engulfs and destroys foreign material

Explanation

A macrophage is a large cell that engulfs and destroys foreign material. It plays a crucial role in the immune system by identifying and engulfing pathogens, dead cells, and other foreign substances. Macrophages are part of the body's defense mechanism and help protect against infections and diseases. They are able to recognize and destroy a wide range of foreign material, making them an important component of the immune response.

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67. Blood protein found in red blood cells

Explanation

Hemoglobin is a blood protein found in red blood cells. It is responsible for carrying oxygen from the lungs to the rest of the body and transporting carbon dioxide back to the lungs for exhalation. Hemoglobin gives red blood cells their characteristic red color and is essential for the proper functioning of the body's tissues and organs.

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68. Formation of red blood cells

Explanation

Erythropoiesis refers to the process of red blood cell formation. It is a vital process that occurs in the bone marrow, where stem cells differentiate and mature into red blood cells. This process is essential for maintaining the body's oxygen-carrying capacity and overall health. Anisocytosis refers to the presence of red blood cells of unequal size, anticoagulant refers to substances that prevent blood clotting, hemolysis refers to the destruction of red blood cells, and plateletpheresis refers to the removal of platelets from the blood. Therefore, erythropoiesis is the correct answer as it directly relates to the formation of red blood cells.

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69. Relieving pain, but not curing an illness

Explanation

The term "palliative" refers to a type of medical care that focuses on relieving pain and symptoms associated with an illness, rather than curing the illness itself. In this context, the answer "palliative" explains that the treatment or approach being discussed is aimed at alleviating pain, but it does not address the underlying cause of the illness. This suggests that the treatment may provide temporary relief or comfort, but it does not offer a permanent solution or cure for the illness.

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70. Symptoms of disease disappear

Explanation

Remission refers to a period during the course of a disease when the symptoms disappear or improve significantly. It is a term commonly used in the context of chronic diseases such as leukemia, where the disease may go into a state of remission after treatment. In this case, the symptoms of chronic myelogenous leukemia (CML) would disappear or become less severe, indicating that the disease is under control. The other options, erythrocyte sedimentation rate, hemoglobin test, and relapse, do not specifically refer to the disappearance of symptoms, making them incorrect answers.

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71. Adjudication is the process by which

Explanation

Adjudication is the process by which a claim is reviewed and payment decisions are made by the carrier. This means that the carrier, such as an insurance company, carefully examines the claim submitted by a healthcare provider and determines whether it meets the necessary criteria for payment. They assess factors such as medical necessity, coverage limitations, and policy terms to make a decision on whether to approve or deny the claim. This process ensures that claims are thoroughly evaluated and appropriate payment is made in a timely manner.

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72. When a coordination of benefits situation exists, the health insurance professional should first

Explanation

When a coordination of benefits situation exists, it is important for the health insurance professional to verify which payer is primary and which is secondary. This is necessary in order to correctly determine the order in which the claims should be submitted and to ensure that the correct benefits are applied. Disregarding the primary or secondary payer without verifying their status could result in incorrect billing and potential claim denials. Therefore, it is crucial to verify the primary and secondary payer in coordination of benefits situations.

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73. Mechanical and chemical barriers, the inflammatory response, and the immune response are

Explanation

Mechanical and chemical barriers, the inflammatory response, and the immune response are included in the body's natural defense system against infection. These mechanisms work together to protect the body from harmful pathogens. Mechanical barriers, such as the skin and mucous membranes, physically prevent pathogens from entering the body. Chemical barriers, such as stomach acid and antimicrobial substances, kill or inhibit the growth of pathogens. The inflammatory response is triggered when tissue is damaged, causing redness, swelling, and increased blood flow to the affected area. This response helps to isolate and eliminate the pathogen. The immune response involves the activation of immune cells, such as white blood cells, to recognize and destroy pathogens. Overall, these defense mechanisms play a crucial role in preventing and combating infections.

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74. The basic responsibility of the national correct coding initiative is the generate

Explanation

The correct answer is "correct code initiative edits". The basic responsibility of the National Correct Coding Initiative is to generate edits that ensure correct coding. These edits help in preventing improper coding and billing practices, ensuring accurate reimbursement for healthcare services. By reviewing and implementing these edits, healthcare providers can ensure that they are submitting claims with the correct codes, reducing the risk of errors and potential fraud.

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75. Colon, total resection

Explanation

The correct answer is level VI (E). This is because total resection refers to the complete removal of a structure or organ. In this case, the term "colon" indicates that the surgery involves the removal of the colon. Level VI (E) corresponds to the anatomical region where the colon is located, making it the most appropriate choice for the total resection of the colon.

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76. Leuk/o

Explanation

The term "leuk/o" is a combining form derived from the Greek word "leukos" which means "white". It is commonly used in medical terminology to refer to anything related to the color white. For example, leukocytes are white blood cells, leukoplakia is the formation of white patches in the mouth, and leukorrhea is the abnormal white vaginal discharge. Therefore, the correct answer for this question is "white".

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77. Stoppage or control of blood flow : hemo______

Explanation

The term "hemostasis" refers to the stoppage or control of blood flow. The word "stasis" means a state of balance or equilibrium. In the context of blood flow, "stasis" indicates the cessation or prevention of bleeding. Therefore, "stasis" is the correct answer to complete the term "hemostasis."

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78. Myel/o

Explanation

The term "myel/o" refers to bone marrow. Bone marrow is the soft tissue found inside the bones, responsible for producing blood cells. This term is commonly used in medical terminology to describe conditions or procedures related to the bone marrow.

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79. Morph/o

Explanation

The term "morph/o" is derived from the Greek word "morphē," which means shape or form. In medical terminology, "morph/o" is used as a combining form to indicate something related to shape or form. For example, "morphology" refers to the study of the form and structure of organisms, while "amorphous" describes something without a definite shape. Therefore, the correct answer for this question is shape, form.

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80. -blast

Explanation

not-available-via-ai

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81. What type of drug test measures the amount of a drug in the specimen

Explanation

A quantitative drug test measures the exact amount of a drug present in a specimen, providing a numerical value. This type of test is used to determine the concentration of a drug in the body, which can be helpful in monitoring drug levels, assessing drug metabolism, or detecting drug abuse. Unlike a qualitative test that only provides a positive or negative result, a quantitative test provides a more precise measurement of drug levels.

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82. The postmortem codes 88000-88099 represent physician services only

Explanation

The statement is true. The postmortem codes 88000-88099 are specifically assigned to represent physician services related to postmortem examinations. These codes are used to document and bill for the medical services provided by a physician during the examination of a deceased individual. Therefore, the statement accurately states that these codes are solely for physician services.

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83. During the evocative suppression testing, the correct codes for the physicians administration of the evocative or suppressive agents are reported depending on the method of administration

Explanation

During evocative suppression testing, the correct codes for the physician's administration of the evocative or suppressive agents are reported based on the method of administration. This means that the codes used to report the administration of these agents will vary depending on how they are given to the patient. Therefore, the statement is true.

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84. Qualitative analysis is defined as

Explanation

Qualitative analysis refers to the process of analyzing a substance to determine the nature or identity of its chemical constituents. It involves identifying the presence or absence of specific elements, ions, or compounds in a sample, without quantifying their amounts or proportions. This type of analysis is useful in various fields, such as chemistry, environmental science, and forensic science, as it helps in understanding the composition and characteristics of a substance.

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85. Select the term that is spelled correctly

Explanation

Myeloma is the correct spelling. The term refers to a type of cancer that affects plasma cells in the bone marrow. It is spelled with a "y" after the "m" and an "a" at the end. "Myleoma" is an incorrect spelling and does not exist.

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86. Select the term that is spelled correctly

Explanation

The term "heparin" is spelled correctly. The alternative option "heparine" is incorrect as it does not follow the standard spelling of the word.

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87. A type of inherited anemia marked by defective type of hemoglobin in people of Mediterranean background: _____________________emia

Explanation

Thalassemia is a type of inherited anemia that is characterized by a defective type of hemoglobin. It is commonly found in people of Mediterranean background. Therefore, the correct answer is "thalassemia".

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88. When coding chemistry tests an analyte is measured in multiple specimens from different sources, or in specimens that are obtained at different times, the analyte is reported separately for each source and for each specimen

Explanation

When coding chemistry tests, it is important to measure the analyte in multiple specimens from different sources or at different times. This is because the analyte may vary depending on the source or the time at which it was obtained. Therefore, it is necessary to report the analyte separately for each source and each specimen to ensure accurate and reliable results.

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89. There are different codes for Helicobacter pylori (H.pylori) depending on the source of teh specimen

Explanation

The statement is true because different codes are assigned to Helicobacter pylori (H.pylori) depending on the source of the specimen. This means that different diagnostic tests or procedures may require specific codes to accurately identify and classify the presence of H.pylori. The coding system allows for better organization and standardization of medical data, ensuring accurate documentation and effective communication among healthcare professionals.

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90. Relieving symptoms but not curing

Explanation

The correct answer is "palliative." Palliative refers to a type of medical care or treatment that focuses on relieving and managing symptoms, rather than curing the underlying disease or condition. It aims to improve the quality of life for patients who are dealing with serious illnesses or chronic conditions. Palliative care can include pain management, emotional support, and other interventions to alleviate discomfort and improve overall well-being.

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91. Deficiency of a type of white blood cell

Explanation

Neutropenia refers to a condition characterized by a decreased number of neutrophils, which are a type of white blood cell. Neutrophils play a crucial role in the immune system's defense against bacterial infections. Therefore, a deficiency of neutrophils can lead to an increased susceptibility to bacterial infections. The other options listed, myeloblast, fibrin, eosinophil, and macrophage, do not specifically relate to a deficiency of white blood cells.

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92. What is the first key to successful claims processing

Explanation

Collecting and verifying patient information is the first key to successful claims processing because accurate and complete patient information is essential for submitting claims and ensuring proper reimbursement. This includes gathering details such as patient demographics, insurance information, and medical history. By collecting and verifying this information, healthcare providers can ensure that claims are submitted correctly and that they meet the requirements of the payer. This helps to prevent claim denials and delays in payment, ultimately leading to a more efficient and effective claims processing system.

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93. Before the health insurance professional can complete and submit a health insurance claim

Explanation

Before a health insurance professional can complete and submit a health insurance claim, a signed and dated release of information is typically necessary. This release of information allows the professional to access the patient's medical records and other relevant information needed to process the claim accurately. Without this release, the professional may not have the legal authority to obtain the necessary information, which could result in delays or denials of the claim.

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94. Documenting the appropriate medical information in the patients health record is the responsibility of

Explanation

The healthcare provider is responsible for documenting the appropriate medical information in the patient's health record. This is because they are the ones directly involved in providing the medical care and treatment to the patient. They have the knowledge and expertise to accurately record and document the necessary information about the patient's health condition, treatments, medications, and any other relevant details. This information is crucial for the continuity of care, communication among healthcare professionals, and for legal and insurance purposes.

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95. Services that typically require preauthorization or precertification include

Explanation

Inpatient hospitalization typically requires preauthorization or precertification because it involves a longer stay in the hospital and is a more expensive service. Insurance companies want to ensure that the hospitalization is necessary and meets their criteria for coverage. Preauthorization helps them determine if the treatment can be provided on an inpatient basis and if it is medically necessary. This process helps control costs and ensures appropriate utilization of healthcare resources.

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96. To complete the entire claims process a paper claim typically takes

Explanation

A paper claim typically takes 4 to 6 weeks to complete the entire claims process. This is because the paper claim needs to go through various stages, such as being received, reviewed, processed, and finally approved or denied. Each stage requires time for manual handling and verification, which can take several weeks. Additionally, there may be delays due to factors like high volume of claims, holidays, or incomplete documentation. Therefore, it is expected that a paper claim will take a few weeks to complete the entire process.

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97. Generally, if a claim is reduced or rejected, the problem lies with

Explanation

If a claim is reduced or rejected, the problem usually lies with the provider's office. This could be due to errors in the billing or coding process, incomplete or incorrect documentation, or failure to meet specific requirements set by the insurance company or fiscal intermediary. It is the responsibility of the provider's office to ensure that all necessary information is accurately submitted to the insurance company for claim processing and reimbursement.

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98. The key to knowing how much of the claim was paid how much was not and why is the

Explanation

The Explanation of Benefits (EOB) is the key to knowing how much of the claim was paid, how much was not, and why. It is a document provided by the insurance company that details the services rendered, the amount billed, the amount covered by insurance, and any patient responsibility. It helps the policyholder understand the breakdown of the claim and any adjustments made by the insurance company. The EOB is essential in reconciling medical bills and understanding the financial aspect of healthcare.

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99. A review request for part A must come within _______ from the date of the original determination

Explanation

A review request for part A must come within 120 days from the date of the original determination. This means that if someone wants to request a review of part A of a decision, they must do so within 120 days of the original determination being made. Waiting longer than this time period would likely result in the request being denied or not considered.

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100. If a patient is incapacitated in any way the health insurance professional is not allowed (by law) to contact the patients insurer to obtain preauthorization

Explanation

The statement is false. If a patient is incapacitated in any way, the health insurance professional is still allowed (by law) to contact the patient's insurer to obtain preauthorization.

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101. It is the patients responsibility to document nonmedical comments in their own health record

Explanation

The statement "it is the patients responsibility to document nonmedical comments in their own health record" is false. It is not the patient's responsibility to document nonmedical comments in their health record. The responsibility for documenting nonmedical comments usually lies with the healthcare provider or medical staff who are treating the patient. Patients may provide information or feedback, but the actual documentation is typically done by the healthcare professionals.

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102. The textbook outlines six keys to successful claims processing

Explanation

The textbook provides information on six keys to successful claims processing. This implies that there is a section in the textbook that discusses these keys, and it is stated as a fact. Therefore, the statement "the textbook outlines six keys to successful claims processing" is true.

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103. Correct code initiative edits are the result of the national correct coding initiative

Explanation

The statement suggests that correct code initiative edits are indeed the result of the national correct coding initiative. In other words, the correct coding initiative has implemented edits that ensure accurate coding practices. Therefore, the answer is true.

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104. If a patient and his/her spouse are covered under two separate employer group policies, it results in a coordination of benefits

Explanation

If a patient and their spouse are covered under two separate employer group policies, it results in a coordination of benefits. This means that both insurance policies will work together to determine the primary and secondary coverage for the patient's medical expenses. The primary policy will be responsible for paying the majority of the costs, while the secondary policy will cover any remaining expenses. This coordination of benefits ensures that the patient does not receive more coverage than necessary and prevents duplicate payments from the insurance companies.

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105. An appeal must be in writing, and there are no time limits for initiating an appeal

Explanation

The statement is false. An appeal must be in writing, but there are usually time limits for initiating an appeal.

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106. Hearing on record is when a hearing officer investigates all aspects of the claim, but the physician does not usually testify

Explanation

In a hearing on record, a hearing officer thoroughly examines all aspects of a claim, but it is uncommon for the physician to testify during this process. Therefore, the statement is true.

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107. Pathogens cause disease by

Explanation

Pathogens can cause disease through various mechanisms. Invasion of living tissue refers to the ability of pathogens to enter and multiply within host cells, leading to tissue damage and subsequent disease. Destruction of living tissue occurs when pathogens directly damage or destroy host cells, tissues, or organs. Intoxication refers to the production and release of toxins by pathogens, which can cause harm to the host's cells and tissues. Therefore, all of the mentioned mechanisms (invasion, destruction, and intoxication) can contribute to the ability of pathogens to cause disease.

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108. Smoking, drinking, nutrition, and lack of exercise are examples of

Explanation

The given answer, "predisposing factors related to life style," is correct because smoking, drinking, nutrition, and lack of exercise are all lifestyle choices that can increase the risk of certain health conditions. These factors are not determined by age, environment, or heredity, but rather by individual choices and behaviors. Lifestyle choices play a significant role in determining a person's overall health and can predispose them to various diseases and conditions.

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109. Among some common concerns about the health issues of older adults are substance abuse and nutritional problems

Explanation

The statement is true. Substance abuse and nutritional problems are indeed common concerns when it comes to the health issues of older adults. Substance abuse can include alcohol or drug misuse, which can have detrimental effects on their physical and mental health. Nutritional problems can arise due to factors such as decreased appetite, difficulty in chewing or swallowing, or inadequate intake of essential nutrients. These concerns need to be addressed and managed properly to ensure the well-being of older adults.

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110. Antigen

Explanation

An antigen is a substance that stimulates the immune system to produce antibodies. When an antigen enters the body, it triggers an immune response, leading to the production of specific antibodies that can recognize and neutralize the antigen. This immune response is essential for fighting off infections and diseases. Antigens can be molecules from pathogens, such as bacteria or viruses, or they can be substances that are foreign to the body, like pollen or certain foods. By stimulating the immune system to produce antibodies, antigens help protect the body against harmful invaders.

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111. Lack of mature erythrocytes owing to inability to absorb vitamin B12

Explanation

Pernicious anemia is a condition characterized by a lack of mature erythrocytes, which are red blood cells, due to the body's inability to absorb vitamin B12. This vitamin is essential for the production of healthy red blood cells. Without enough vitamin B12, the body cannot produce an adequate number of mature red blood cells, leading to anemia. Therefore, pernicious anemia is the most suitable explanation for the given statement.

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112. Symptoms of disease return

Explanation

Relapse refers to the recurrence or return of symptoms of a disease after a period of improvement or remission. In this case, the question mentions "symptoms of disease return," which aligns with the definition of relapse. The other options, such as remission, erythrocyte sedimentation rate, chronic myelogenous leukemia, and hemoglobin test, do not specifically relate to the return of symptoms. Therefore, the correct answer is relapse (Q).

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113. Speed at which red cells settle out of plasma

Explanation

The erythrocyte sedimentation rate (G) is the correct answer because it measures the speed at which red blood cells settle out of plasma. This test is commonly used to detect and monitor inflammatory conditions in the body. A higher sedimentation rate indicates the presence of inflammation or infection, while a lower rate may indicate a normal or stable condition. This test is not specific to any particular disease but can provide valuable information when combined with other diagnostic tests.

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114. If patients are covered by two insurance plans the health insurance professional may have to submit a primary claim and a

Explanation

When patients are covered by two insurance plans, the health insurance professional may have to submit a primary claim to the primary insurance plan, which is the first insurance plan responsible for covering the patient's medical expenses. If the primary insurance plan does not cover the full amount or if there are remaining expenses, the health insurance professional may then need to submit a secondary claim to the secondary insurance plan, which is the second insurance plan responsible for covering any remaining costs. Therefore, the correct answer is a secondary claim.

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115. If a provider (or beneficiary) is dissatisfied with the administrative law judge's (ALJ) decision, they may request a review by the departmental appeals board (DAB)

Explanation

If a provider or beneficiary is dissatisfied with the administrative law judge's decision, they have the option to request a review by the departmental appeals board (DAB). This suggests that the statement is true, as it implies that there is a process in place for individuals to seek further review if they are not satisfied with the ALJ's decision.

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116. Only the provider has the right to appeal a rejected insurance claim

Explanation

The given statement is false. Both the provider and the insured individual have the right to appeal a rejected insurance claim. If an insurance claim is denied, the insured individual can review the denial and provide additional information or evidence to support their claim. Similarly, the healthcare provider can also appeal the denial on behalf of the insured individual if they believe the claim was wrongfully rejected. Therefore, the right to appeal a rejected insurance claim is not exclusive to the provider only.

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117. Immunodeficiency disorders result from

Explanation

Immunodeficiency disorders occur when the immune system is weakened or unable to function properly. This can be due to various factors such as genetic mutations, certain medications, or infections like HIV. A depressed or absent immune response means that the immune system is not able to effectively fight off pathogens or foreign substances, making the individual more susceptible to infections and diseases.

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118. Which statement(s) is (are) true about understanding the patients pain

Explanation

The statement "pain is subjective" means that pain is a personal experience and can vary from person to person. It cannot be objectively measured or quantified. The statement "pain has individualized effects" suggests that pain can have different impacts on individuals, both physically and emotionally. It can affect their daily activities, mood, and overall quality of life. Lastly, the statement "pain is a necessary entity in life" implies that pain is a natural and unavoidable part of the human experience. It serves as a protective mechanism, alerting us to potential harm or injury. Therefore, all of the above statements are true.

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119. The philosophy of hospice affirms life and neither hastens nor postpones death

Explanation

The statement is true because the philosophy of hospice focuses on providing compassionate care to individuals who are nearing the end of their lives. Hospice aims to enhance the quality of life for patients and their families by managing pain and other symptoms, while also providing emotional and spiritual support. It does not seek to hasten or postpone death, but rather to ensure that patients are comfortable and supported during their final stages of life.

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120. Inherited defect in the ability to produce hemoglobin

Explanation

Thalassemia is a genetic disorder that affects the production of hemoglobin, the protein responsible for carrying oxygen in the blood. Individuals with thalassemia have a defect in their ability to produce normal hemoglobin, leading to anemia. This condition is inherited and can result in a range of symptoms, including fatigue, weakness, and pale skin. The other options listed, such as purpura, polycythemia vera, hemophilia, and acute lymphocytic leukemia, do not involve a defect in hemoglobin production and are therefore not the correct answer.

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121. Excessive bleeding caused by lack of Factor VIII or IX

Explanation

Hemophilia is a genetic disorder characterized by excessive bleeding due to a deficiency of clotting factors, specifically Factor VIII or IX. This lack of clotting factors impairs the blood's ability to form clots, leading to prolonged bleeding even from minor injuries. The given answer, hemophilia (J), aligns with the symptoms described in the question, making it the correct choice.

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122. Lymphoblasts predominate in the blood; most often seen in children

Explanation

The given information states that lymphoblasts predominate in the blood and are most often seen in children. Acute lymphocytic leukemia (ALL) is a type of cancer that starts in the bone marrow and affects the production of lymphocytes, specifically lymphoblasts. It is more common in children than adults. Therefore, based on the given information, the correct answer is acute lymphocytic leukemia (A).

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123. There is a second insurance policy, block 11d on the CMS-1500 form should be

Explanation

The correct answer is "checked yes" because block 11d on the CMS-1500 form should be checked "yes" if there is a second insurance policy. This indicates that the patient has another insurance policy in addition to the one listed in block 11c.

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124. When reporting organ or disease oriented panels if all but one of the tests within the panel is substantiated by the physicians documentation it is acceptable to assign the code with modifier -52 to the code used to report the service

Explanation

False. When reporting organ or disease-oriented panels, if all but one of the tests within the panel is substantiated by the physician's documentation, it is not acceptable to assign the code with modifier -52. The correct approach is to report the code for the panel without any modifiers.

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125. In therapeutic drug assays (80150-80299) the examination is quantitative

Explanation

In therapeutic drug assays, the examination is quantitative. This means that the purpose of these assays is to measure the concentration or amount of a specific drug in a patient's blood or body fluids. The results of these assays are used to determine the appropriate dosage of the drug for the patient or to monitor the effectiveness of the drug therapy. Therefore, it is true that the examination in therapeutic drug assays is quantitative.

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126. What is the name given to grouped laboratory work that represents those test commonly performed together

Explanation

Panels are the name given to grouped laboratory work that represents those tests commonly performed together. This allows for efficient and streamlined testing, as multiple tests can be done simultaneously on a single sample. Panels are often used in medical settings to assess various aspects of a patient's health, such as a lipid panel to measure cholesterol levels or a comprehensive metabolic panel to evaluate organ function. By grouping tests together, panels help save time and resources while providing a comprehensive analysis of the patient's health status.

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127. Protein found in blood; maintains the proper amount of water in blood

Explanation

Albumin is a protein found in blood that helps maintain the proper amount of water in the blood. It acts as a carrier molecule, transporting various substances such as hormones, fatty acids, and drugs. Additionally, albumin helps to regulate blood pressure and prevent fluid from leaking out of blood vessels. Therefore, albumin is the correct answer as it fulfills the function of maintaining the proper amount of water in the blood.

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128. For repeat laboratory tests performed on the same day the correct modifier is -51

Explanation

The statement is false. The correct modifier for repeat laboratory tests performed on the same day is -91, not -51. Modifier -51 is used to indicate multiple procedures performed during the same session, while modifier -91 is used specifically for repeat laboratory tests.

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129. Bursa/synovial cyst

Explanation

The correct answer is Level III(B) because bursa/synovial cysts are commonly found in this level. Bursa/synovial cysts are fluid-filled sacs that develop in the synovial lining of joints, such as the knee or hip. Level III(B) refers to the third level of the classification system used to categorize the severity and complexity of spinal conditions. This level typically involves moderate spinal pathology, which can include the presence of bursa/synovial cysts. Therefore, Level III(B) is the most appropriate answer in this context.

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130. Deficiency in numbers of white blood cells

Explanation

Neutropenia refers to a deficiency in the number of white blood cells, specifically neutrophils. Neutrophils play a crucial role in fighting off infections, so a decrease in their numbers can weaken the immune system and make individuals more susceptible to infections. This condition can be caused by various factors, such as certain medications, chemotherapy, autoimmune disorders, or bone marrow disorders. It is important to diagnose and treat neutropenia promptly to prevent complications and ensure the body's ability to fight infections effectively.

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131. Increase in red blood cells

Explanation

Polycythemia vera is a condition characterized by the excessive production of red blood cells in the bone marrow. This leads to an increase in the total number of red blood cells in the body, which is known as erythrocytosis. Symptoms of polycythemia vera include fatigue, headaches, dizziness, and an increased risk of blood clots. Treatment options may include phlebotomy (removal of blood), medication to reduce the production of red blood cells, and managing underlying risk factors.

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132. Platelet precursor found in bone marrow

Explanation

Megakaryocytes are large cells found in the bone marrow that are responsible for producing platelets. Platelets are important for blood clotting and preventing excessive bleeding. Therefore, it makes sense that the correct answer is megakaryocyte, as it is the precursor for platelets and is found in the bone marrow. The other options, thrombosis, differentiation, albumin, and sideropenia, do not directly relate to platelet production or bone marrow.

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133. A 9 digit number required by businesses to serve as their taxpayer identifying number is

Explanation

The correct answer is employer identification number (EIN). This is a 9 digit number that is used by businesses as their taxpayer identifying number. It is issued by the Internal Revenue Service (IRS) and is used to identify a business entity for tax purposes. It is similar to a social security number for individuals, but specifically for businesses. The EIN is used for filing tax returns, opening business bank accounts, and for other business-related financial transactions.

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134. The medicare program has a multileveled appeal process. how many levels are there

Explanation

The correct answer is five. The Medicare program has a multileveled appeal process that consists of five levels. This means that individuals who are dissatisfied with a decision made by Medicare have the option to go through a series of five levels of appeal in order to seek a resolution.

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135. Genetic diseases may be

Explanation

Genetic diseases can be caused by various factors. An abnormality or mutation in a single gene can lead to the development of a genetic disease. Additionally, genetic diseases can also be caused by the presence of multiple abnormal genes. Furthermore, abnormalities in chromosomes or alterations in their structure can also result in genetic diseases. Therefore, all of the above options are correct explanations for the causes of genetic diseases.

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136. Malignant tumors

Explanation

Malignant tumors have the ability to infiltrate other tissues, meaning they can invade and spread into nearby healthy tissues. They also tend to bleed, ulcerate, and become infected, which can cause further complications. Additionally, malignant tumors have the potential to spread to distant sites in the body through a process called metastasis. Therefore, all of the given statements are true for malignant tumors.

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137. Anaphylaxis, serum sickness, arthralgia, and status asthmaticus are

Explanation

The given correct answer is "systemic manifestations of severe allergic responses." Anaphylaxis, serum sickness, arthralgia, and status asthmaticus are all examples of severe allergic responses that can affect the entire body. Anaphylaxis is a severe and potentially life-threatening allergic reaction, serum sickness is a delayed immune response to certain medications or infections, arthralgia refers to joint pain often associated with allergic reactions, and status asthmaticus is a severe and prolonged asthma attack that does not respond to usual treatments. These conditions are all characterized by systemic symptoms and are considered severe manifestations of allergic responses.

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138. The use of hormone therapy and immunotherapy in the treatment of cancer continues to evolve

Explanation

The statement suggests that the use of hormone therapy and immunotherapy in cancer treatment is constantly changing and developing. This implies that new advancements and discoveries are being made, leading to improvements in the effectiveness and understanding of these treatment methods. Therefore, the statement is true.

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139. Neoplasm

Explanation

The term "neoplasm" refers to a tumor or the growth of new tissue. This can be explained as an abnormal mass of cells that divide and grow uncontrollably, forming a lump or a solid mass. Neoplasms can be benign (non-cancerous) or malignant (cancerous), and they can occur in various parts of the body. The growth of new tissue can disrupt the normal functioning of organs and tissues, leading to various health issues.

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140. Symptoms of pallor, shortness of breath, infection, bleeding gums, predominance of immature and abnormally functioning leukocytes, and low numbers of mature neutrophils in a young child may indicate a likely diagnosis of

Explanation

The symptoms described in the question, such as pallor, shortness of breath, infection, bleeding gums, and abnormal leukocyte counts, are characteristic of acute lymphocytic leukemia (ALL). This type of leukemia is most commonly seen in children and is characterized by the overproduction of immature and dysfunctional white blood cells. Sickle-cell anemia is a genetic disorder that affects the shape of red blood cells, causing them to become sickle-shaped. Hemostasis refers to the process of blood clotting. Chronic lymphocytic leukemia is a slow-progressing cancer that affects mature white blood cells. Hemoglobinopathy refers to a group of disorders that affect the structure or production of hemoglobin.

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141. IgM, IgG, IgA, IgD, and IgE are

Explanation

IgM, IgG, IgA, IgD, and IgE are immunoglobulins. Immunoglobulins, also known as antibodies, are proteins produced by the immune system in response to the presence of foreign substances (antigens) in the body. They play a crucial role in the immune response by binding to antigens and helping to neutralize or eliminate them. IgM is the first antibody produced during an initial immune response, while IgG is the most abundant antibody in the bloodstream and provides long-term immunity. IgA is found in mucosal areas of the body and helps to protect against pathogens at these sites. IgD and IgE have specialized functions in the immune response.

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142. Lack of mature red cells owing to inability to absorb vitamin B12

Explanation

Pernicious anemia is a condition characterized by a lack of mature red blood cells due to the body's inability to absorb vitamin B12. This vitamin is essential for the production of red blood cells. Without enough vitamin B12, the body cannot properly produce mature red blood cells, leading to anemia. Pernicious anemia is typically caused by an autoimmune condition that affects the stomach's ability to produce a protein called intrinsic factor, which is necessary for vitamin B12 absorption.

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143. White blood cell with dense, reddish granules (associated with allergic reactions)

Explanation

Eosinophils are a type of white blood cell that contain dense, reddish granules. These granules are associated with allergic reactions. Eosinophils play a role in defending the body against parasites and are also involved in allergic responses. Neutropenia refers to a low level of neutrophils, which are a different type of white blood cell. Fibrin is a protein involved in blood clotting. Myeloblasts are immature cells that give rise to different types of white blood cells. Macrophages are another type of white blood cell involved in the immune response. Therefore, the correct answer is eosinophil.

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144. Determines the numbers of different types of leukocytes

Explanation

The correct answer, white blood cell differential(T), determines the numbers of different types of leukocytes. This test is used to identify and quantify the different types of white blood cells present in a blood sample. It provides valuable information about the immune system and can help diagnose various infections, autoimmune disorders, and blood disorders. By analyzing the proportions of different types of white blood cells, doctors can gain insight into the patient's overall health and identify any abnormalities or imbalances in the immune system.

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145. Determines the shape or form of erythrocytes

Explanation

Red blood cell morphology refers to the shape or form of erythrocytes. It is a term used to describe the appearance of red blood cells under a microscope. Different conditions or diseases can cause abnormalities in the shape of red blood cells, such as sickle cell anemia or spherocytosis. Therefore, red blood cell morphology is the correct answer as it directly relates to determining the shape or form of erythrocytes.

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146. Small amount of bone marrow is aspirated and examined under a microscope

Explanation

A bone marrow biopsy involves the removal and examination of a small amount of bone marrow under a microscope. This procedure is commonly used to diagnose various blood disorders and cancers, such as chronic myelogenous leukemia. Therefore, the answer "bone marrow biopsy" is the most appropriate choice among the given options.

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147. Total amount of a blood protein is measured in a sample of blood

Explanation

A hemoglobin test is used to measure the total amount of a blood protein in a sample of blood. This test is commonly used to evaluate the oxygen-carrying capacity of the blood and to diagnose and monitor conditions such as anemia and other blood disorders. The other options listed (remission, erythrocyte sedimentation rate, chronic myelogenous leukemia, and relapse) are not directly related to measuring the total amount of a blood protein.

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148. Transfusion medicine codes are located in the pathology and laboratory section

Explanation

The statement is true because transfusion medicine codes, which are used to classify and bill for services related to blood transfusions, can be found in the pathology and laboratory section. This section of medical coding guidelines and resources specifically deals with laboratory tests and procedures, including those related to transfusion medicine. Therefore, it is accurate to say that transfusion medicine codes are located in the pathology and laboratory section.

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149. A surgical pathology specimen that is not listed in the pathology code descriptions should be assigned a code that most closely reflects the physicians work involved compared to other specimens assigned to that code

Explanation

When a surgical pathology specimen is not listed in the pathology code descriptions, it should be assigned a code that closely reflects the physician's work involved compared to other specimens assigned to that code. This means that the code should accurately represent the complexity and effort required by the physician for analyzing and diagnosing the specimen. By doing so, the coding accurately reflects the level of work performed by the physician.

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150. An alternative to the suspension file is to record claims information on a columnar form called a/an

Explanation

An insurance claims register is a columnar form used to record claims information as an alternative to a suspension file. It allows for organized and systematic tracking of insurance claims, providing a comprehensive record of all claims made. This register helps in maintaining accurate and up-to-date information, ensuring that all claims are properly documented and processed. It serves as a useful tool for insurance companies to manage and monitor claims efficiently.

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151. An explanation of benefits is often referred to as a

Explanation

An explanation of benefits is often referred to as a remittance advice because it is a document sent by a health insurance company to a patient or healthcare provider explaining the details of a claim. It includes information such as the services provided, the amount billed, the amount covered by insurance, and any remaining balance. The remittance advice helps the recipient understand how the claim was processed and provides a record of the payment or denial of the claim.

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152.  a request for a fair hearing is pursued in one of three ways. which is not one of the ways

Explanation

A court hearing is not one of the ways in which a request for a fair hearing is pursued. The other three options, hearing on record, telephone hearing, and personal hearing, are all valid methods of pursuing a fair hearing. A court hearing typically refers to a legal proceeding in a courtroom, whereas the other options involve different formats or settings for the hearing.

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153. Signs of disease

Explanation

Signs of disease include abnormal objective findings. This means that signs are observable and measurable indicators of a disease or condition, such as abnormal test results, physical abnormalities, or diagnostic findings. Unlike symptoms, which are subjective experiences reported by the patient, signs are typically objective and can be observed by healthcare professionals. Therefore, signs of disease can provide valuable information for diagnosis and treatment, helping healthcare providers to identify and evaluate the presence of a disease or condition.

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154. Benign tumors

Explanation

Benign tumors tend to remain encapsulated, meaning they are contained within a fibrous capsule and do not invade or infiltrate surrounding tissue. Unlike malignant tumors, they do not spread to other parts of the body. Additionally, benign tumors do not compress surrounding tissue or obstruct organs, and they typically resemble the tissue of origin, maintaining similar characteristics and structure.

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155. In preventative health care the emphasis is on

Explanation

Preventative health care focuses on taking measures to prevent diseases and promote overall well-being. Prophylactic medical services refer to the preventive measures and interventions provided by healthcare professionals to detect and prevent diseases before they occur or progress. This can include regular check-ups, vaccinations, screenings, and lifestyle counseling. By emphasizing prophylactic medical services, individuals can take proactive steps to maintain their health and prevent the onset of illnesses, leading to a better quality of life.

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156. Osteopathy

Explanation

Osteopathy is a form of alternative medicine that emphasizes the body's natural ability to heal and maintain well-being. Unlike traditional medicine, it is not practiced by trained medical physicians. Osteopaths focus on treating the whole person rather than just the symptoms, and they use a variety of techniques such as massage, stretching, and joint manipulation to promote healing. Therefore, the answer "emphasizes the body's natural process to heal and provide well-being" is correct as it accurately describes the principles of osteopathy.

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157. The holistic concept of medical care focuses on

Explanation

The correct answer is the needs of the whole person: spiritual, cognitive, social, physical, and emotional. This answer is supported by the statement that the holistic concept of medical care focuses on the needs of the whole person, taking into account various aspects such as spirituality, cognition, social interactions, physical health, and emotions. It contrasts with narrowly defining physical pathologic changes and discounting the needs of a patient as a whole to expedite healing, which are both mentioned as incorrect options.

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158. Gene therapy is now a common intervention and proven cure for many diseases

Explanation

The statement is false because gene therapy is not yet a common intervention and proven cure for many diseases. While gene therapy shows promise and has been successful in treating certain diseases, it is still an emerging field with ongoing research and development. It is not widely accessible or established as a standard treatment option for a wide range of diseases.

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159. Mutation

Explanation

The term "mutation" refers to changes in the genetic code of a cell. Mutations can occur spontaneously or as a result of external factors such as radiation or exposure to certain chemicals. These changes can alter the DNA sequence, leading to variations in the traits or characteristics of an organism. Mutations can be harmful, beneficial, or have no effect at all. They play a crucial role in evolution and can contribute to the development of diseases such as cancer.

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160. Separation of clotting cells from the rest of the blood (using a centrifuge)

Explanation

Plateletpheresis is the correct answer because it involves the separation of clotting cells (platelets) from the rest of the blood using a centrifuge. This process is commonly used in blood banks or medical procedures where a patient requires a specific component of blood, such as platelets, while the rest of the blood components are returned to the donor.

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161. Percentages of erythrocytes in a volume of blood

Explanation

Hematocrit refers to the percentage of erythrocytes (red blood cells) in a given volume of blood. It is a measure of the proportion of blood that is made up of red blood cells. Purpura, polycythemia vera, dyscrasia, and thalassemia are all conditions that can affect the blood, but hematocrit specifically measures the concentration of red blood cells in the blood. Therefore, hematocrit (H) is the correct answer.

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162. Any abnormal or pathological condition of the blood

Explanation

Dyscrasia refers to any abnormal or pathological condition of the blood. It is a general term that encompasses various blood disorders, including purpura, polycythemia vera, hemophilia, and thalassemia. Therefore, dyscrasia is the correct answer as it is the most comprehensive term that includes all the mentioned conditions.

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163. Both mature and immature granulocytes are present in bone marrow and blood

Explanation

Chronic myelogenous leukemia (CML) is a type of cancer that affects the bone marrow and blood. In CML, there is an overproduction of granulocytes, which are a type of white blood cell. These granulocytes can be either mature or immature, and they can be found in both the bone marrow and the blood. Therefore, the presence of both mature and immature granulocytes in the bone marrow and blood is a characteristic feature of CML.

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164.  the pathology/laboratory section of the CPT, drugs are listed by their ________names.

Explanation

In the pathology/laboratory section of the CPT, drugs are listed by their generic names. Generic names refer to the non-proprietary names of drugs, which are universally recognized and independent of any specific brand or manufacturer. This allows for standardized identification and classification of drugs within the CPT, ensuring consistency and accuracy in medical coding and billing processes.

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165. Select the term that is spelled correctly

Explanation

The term "bilirubin" is spelled correctly. This is a pigment that is produced when red blood cells break down. It is then processed by the liver and excreted in bile. The incorrect spelling "billirubin" does not exist.

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166. Select the term that is spelled correctly

Explanation

Poikilocytosis is the correct spelling of the term. Poykilocytosis is an incorrect spelling. The correct term refers to the presence of abnormally shaped red blood cells in the bloodstream.

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167. Abnormal condition of blood clotting

Explanation

Thrombosis is the correct answer because it refers to the abnormal condition of blood clotting. Thrombosis occurs when a blood clot forms in a blood vessel, obstructing the normal flow of blood. This can lead to various complications depending on the location of the clot. The other options (differentiation, megakaryocyte, albumin, and sideropenia) are unrelated to the given statement and do not explain the abnormal condition of blood clotting.

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168. A substance that prevents clotting of blood

Explanation

An anticoagulant is a substance that prevents the clotting of blood. This means that it inhibits the formation of blood clots, which can be harmful and potentially life-threatening. Anticoagulants are commonly used in medical treatments to prevent the formation of blood clots in patients who are at risk, such as those with certain heart conditions or undergoing surgery. They work by interfering with the body's natural clotting process, making it harder for clots to form. Therefore, an anticoagulant is the most appropriate choice for a substance that prevents clotting of blood.

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169. Failure of blood cell production due to absence of formation of cells in the bone marrow

Explanation

Aplastic anemia is a condition characterized by the failure of blood cell production, specifically the absence of cell formation in the bone marrow. This leads to a decrease in the number of red blood cells, white blood cells, and platelets in the bloodstream. Unlike other types of anemia, aplastic anemia is not caused by a deficiency in iron or vitamin B12, but rather by a disruption in the bone marrow's ability to produce new blood cells.

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170. Venous blood is clotted in a test tube

Explanation

The coagulation time refers to the time it takes for blood to clot. In this case, when venous blood is clotted in a test tube, it indicates the coagulation process. The other options, such as hematocrit, white blood cell differential, erythrocyte sedimentation rate, and red blood cell morphology, do not directly relate to the clotting of blood. Therefore, the correct answer is coagulation time.

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171. Blood smear is examined to determine the shape or form of cells

Explanation

Red blood cell morphology refers to the study of the shape or form of red blood cells. By examining a blood smear, one can assess the morphology of red blood cells, which can provide valuable information about various conditions such as anemia, infections, and genetic disorders. This analysis helps in identifying any abnormalities in the shape, size, or color of red blood cells, aiding in the diagnosis and monitoring of blood-related disorders.

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172. Blood protein that maintains the proper proportion and concentration of water in blood

Explanation

Albumin is a blood protein that plays a crucial role in maintaining the proper proportion and concentration of water in the blood. It helps to regulate osmotic pressure, which is necessary for the balance of fluids between the blood vessels and tissues. Albumin also acts as a carrier protein, transporting various substances such as hormones, fatty acids, and drugs throughout the body. Additionally, it contributes to the maintenance of blood pH and acts as a buffer. Therefore, albumin is essential for overall fluid balance and the proper functioning of the circulatory system.

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173. What type of drug test measures the presence of a drug in the specimen

Explanation

Qualitative drug tests measure the presence or absence of a drug in a specimen, indicating whether the drug is present or not. This type of test provides a simple "yes" or "no" answer and is commonly used for initial screening purposes. Quantitative drug tests, on the other hand, measure the exact amount of a drug present in the specimen. Confirmatory drug tests are used to validate the results of a positive qualitative test, providing more accurate and detailed information. Immunoassay refers to a type of test that uses antibodies to detect the presence of drugs in a specimen.

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174. What name is given to cultures for identification of organisms, as well as the identification of sensitivities of the organism to antibiotics

Explanation

Culture refers to the process of growing microorganisms in a laboratory setting to identify and study them. Sensitivity, on the other hand, refers to determining the susceptibility of these organisms to antibiotics. Therefore, the name given to the process of identifying organisms and their antibiotic sensitivities is culture/sensitivity. This involves growing the organisms in a culture and then testing their sensitivity to different antibiotics.

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175. A suspension file is a series of files normally set up

Explanation

A suspension file is a series of files that are typically arranged in a chronological order. This means that the files are organized based on the dates or time periods they represent. This arrangement allows for easy retrieval and reference of documents based on when they were created or received. By organizing the files chronologically, it becomes simpler to track the progression or history of events or documents over time.

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176. A suspension file is a series of files set up alphabetically and labeled according to the number of days since the claim was submitted

Explanation

not-available-via-ai

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177. To pursue the third level of appeal, the claim amount in question must be at least $1000.

Explanation

To pursue the third level of appeal, the claim amount in question does not need to be at least $1000.

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178. Homeostasis refers to

Explanation

Homeostasis refers to the internal stability of the body. It is the body's ability to regulate and maintain a stable internal environment despite external changes. This includes maintaining a constant body temperature, pH levels, blood pressure, and other physiological variables within a narrow range. Homeostasis is essential for the proper functioning of cells, tissues, and organs, as any significant deviation from the stable state can lead to dysfunction and disease.

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179. Prigment produced from hemoglobin when red blood cells are destroyed

Explanation

Bilirubin is a pigment that is produced from hemoglobin when red blood cells are destroyed. It is then transported to the liver, where it is processed and excreted in the bile. Bilirubin gives the yellow color to bile and can cause yellowing of the skin and eyes when levels are elevated, a condition known as jaundice. Therefore, bilirubin is the correct answer in this context.

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180. Separation of white blood cells from the rest of the blood (using a centrifuge)

Explanation

Leukapheresis is the correct answer because it refers to the process of separating white blood cells from the rest of the blood using a centrifuge. This technique is commonly used in medical procedures to collect specific types of white blood cells for therapeutic purposes or to remove excess white blood cells from the blood. The other options listed, such as gamma globulins, hemoglobin, serum, and poikilocytosis, are not directly related to the process of separating white blood cells from the blood using a centrifuge.

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181. Breakdown of recipients red blood cells when incompatible blood are mixed

Explanation

Hemolysis refers to the breakdown of red blood cells, and it occurs when incompatible blood types are mixed. In this situation, the red blood cells are being destroyed, leading to the release of hemoglobin into the bloodstream. This can cause various symptoms such as jaundice, fatigue, and shortness of breath. The other options, anisocytosis, anticoagulant, plateletpheresis, and erythropoiesis, do not specifically refer to the breakdown of red blood cells in the context of incompatible blood mixing.

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182. Malignant tumor of bone marrow

Explanation

Multiple myeloma is a type of cancer that affects the bone marrow. It is characterized by the abnormal growth of plasma cells in the bone marrow, which can lead to the production of abnormal proteins and the destruction of bone tissue. This aligns with the given description of a "malignant tumor of bone marrow." Therefore, multiple myeloma is the correct answer.

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183. Separation of blood into its parts

Explanation

Apheresis is the correct answer because it refers to the process of separating blood into its different components. This procedure is commonly used to collect specific blood components, such as platelets or plasma, for therapeutic purposes. It involves removing blood from the body, separating the desired component, and returning the remaining blood components back to the patient. Therefore, apheresis is the most appropriate term that describes the separation of blood into its parts.

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184. What is the name of the subsection within pathology/laboratory that deals with the laboratory work performed to determine cellular changes

Explanation

Cytopathology is the correct answer because it is the subsection within pathology/laboratory that focuses on the laboratory work performed to determine cellular changes. This field involves the examination of individual cells, either through smears or fine needle aspirations, to diagnose diseases such as cancer. Cytopathologists analyze the structure and function of cells to identify any abnormalities or signs of disease, providing valuable information for patient diagnosis and treatment.

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185. Which of the following correctly states the sequence of an allergic response within the body most

Explanation

Exposure to an allergen stimulates the production of IgE antibodies that can subsequently trigger symptoms of an allergy. This sequence accurately describes the process of an allergic response within the body. When a person is exposed to an allergen, their immune system produces IgE antibodies specific to that allergen. These antibodies then bind to mast cells, sensitizing them. Upon subsequent exposure to the allergen, the allergen binds to the IgE antibodies on the mast cells, causing the release of histamine and other chemicals. This histamine release leads to the symptoms of an allergic reaction.

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186. Which of the following most accurately states the orderly steps in making a diagnosis

Explanation

The correct answer is "medical history, physical examination, diagnostic tests, diagnosis, integration of results, treatment." This sequence accurately represents the orderly steps in making a diagnosis. The medical history provides important information about the patient's symptoms, past medical conditions, and family history. The physical examination involves a thorough assessment of the patient's body systems and physical signs. Diagnostic tests are then conducted to gather more objective data and confirm or rule out potential diagnoses. The diagnosis is made by integrating the information from the medical history, physical examination, and diagnostic tests. Finally, the treatment plan is developed based on the diagnosis and the integration of results.

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187. Multiple pinpoint hemorrhages; thrombocytopenia

Explanation

The presence of multiple pinpoint hemorrhages along with thrombocytopenia suggests purpura. Purpura is a condition characterized by small bleeding under the skin, resulting in purple or red spots. Thrombocytopenia refers to a low platelet count, which can lead to easy bruising and bleeding. Polycythemia vera is a disorder characterized by an increase in red blood cell production, not associated with bleeding. Hemophilia is a genetic disorder that impairs the body's ability to form blood clots, but it does not cause multiple pinpoint hemorrhages. Acute lymphocytic leukemia and multiple myeloma are types of blood cancers that may cause bleeding, but they do not typically present with pinpoint hemorrhages.

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188. Erythermia

Explanation

not-available-via-ai

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189. Codes in the pathology/laboratory section, evocation/suppression testing include which of the following

Explanation

The correct answer is "test only" because in the pathology/laboratory section, evocation/suppression testing involves only the performance of the test itself. It does not include any additional services such as injections, substances administered, or physician time.

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190. Reduction in red cells due to excessive cell destruction

Explanation

Hemolytic anemia is the correct answer because it is characterized by a reduction in red blood cells due to excessive cell destruction. In this condition, the red blood cells are destroyed at a faster rate than they can be produced, leading to a decrease in their overall numbers. This can be caused by various factors such as autoimmune disorders, infections, medications, or inherited conditions. Hemolytic anemia can result in symptoms such as fatigue, paleness, shortness of breath, and jaundice. Treatment options may include medications, blood transfusions, or in severe cases, surgery.

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191. Inherited defect in ability to produce hemoglobin

Explanation

Thalassemia is a genetic disorder that affects the production of hemoglobin, the protein responsible for carrying oxygen in red blood cells. Individuals with thalassemia have a defect in their ability to produce normal hemoglobin, leading to anemia. This condition is inherited and can result in a range of symptoms, including fatigue, weakness, and pale skin. Treatment for thalassemia may involve blood transfusions or bone marrow transplantation, depending on the severity of the disease.

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192. Immature bone marrow cell that develops into a white blood cell

Explanation

A myeloblast is an immature bone marrow cell that develops into a white blood cell. It is the precursor to various types of white blood cells, including neutrophils, eosinophils, and macrophages. Neutropenia refers to a decrease in the number of neutrophils, fibrin is a protein involved in blood clotting, and eosinophil and macrophage are types of white blood cells that have already differentiated from myeloblasts. Therefore, myeloblast is the correct answer as it directly matches the given explanation.

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193. Plasma protein that contains antibodies

Explanation

Gamma globulins are a type of plasma protein that contains antibodies. Antibodies are produced by the immune system to help fight against infections and diseases. Gamma globulins play a crucial role in the body's immune response by recognizing and neutralizing foreign substances such as bacteria and viruses. Therefore, gamma globulins are the correct answer as they are the plasma proteins that contain antibodies.

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194. Condition of irregularly shaped cells(red blood cells)

Explanation

Poikilocytosis refers to the condition of irregularly shaped cells, specifically red blood cells. It is characterized by the presence of abnormally shaped RBCs, which can have various shapes such as oval, teardrop, or sickle-shaped. This condition can be indicative of certain diseases or disorders, such as anemia or certain genetic conditions. Therefore, poikilocytosis is the most appropriate term to describe the given condition of irregularly shaped cells.

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195. Condition of cells of unequal size (red blood cells)

Explanation

Anisocytosis refers to a condition where the cells, in this case red blood cells, are of unequal size. This can be seen in conditions such as iron deficiency anemia, vitamin B12 deficiency, or certain genetic disorders. It is characterized by the presence of both larger and smaller red blood cells in the blood sample. The other options, anticoagulant, hemolysis, plateletpheresis, and erythropoiesis, do not specifically relate to the condition of cells of unequal size.

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196. Breast mastectomy-partial/simple

Explanation

The correct answer is level V (D). In breast mastectomy, level V refers to the axillary lymph nodes, which are located in the armpit area. This level is typically removed during a partial or simple mastectomy, as it helps to determine if the cancer has spread to the lymph nodes. Levels III, II, VI, and IV refer to different areas of lymph nodes in the neck and are not relevant to breast mastectomy.

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197. Protein threads that form the basis of a clot

Explanation

Fibrin is the correct answer because it is the protein thread that forms the basis of a clot. When there is an injury or damage to blood vessels, fibrinogen is converted into fibrin by the action of thrombin. Fibrin then forms a mesh-like structure that traps platelets and other blood cells, leading to the formation of a clot. This process is essential for stopping bleeding and initiating the healing process.

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198. The common term for submitting claims with outdated, deleted, or nonexistent CPT codes is

Explanation

Downcoding is the common term for submitting claims with outdated, deleted, or nonexistent CPT codes. This refers to the practice of using a less specific or lower-level code than what is appropriate for the services provided. It is often done to reduce reimbursement or avoid denials. Upcoding, on the other hand, involves using a higher-level code than what is justified. Crosswalking refers to the process of mapping codes from one coding system to another. Fraud, although related to incorrect coding practices, is a broader term that encompasses intentional deception or misrepresentation for financial gain.

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199. Of the various types of hearing, the one that is considered to be the most productive is the

Explanation

The most productive type of hearing is considered to be the "hearing on record." This type of hearing involves the proceedings being recorded and transcribed for future reference. It ensures accuracy and allows for a detailed review of the hearing at a later stage. This type of hearing is particularly useful in legal settings where a record of the proceedings is necessary for documentation and analysis.

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200. Participating providers can balance bill, but nonparticipating providers for commercial claims are not allowed to

Explanation

not-available-via-ai

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The ___________ panel consists of a CBC, hepatitis B, rubella,...
Immunology codes are used to report conditions of the __________system
The range of codes in the cytopathology subsection of the CPT manual...
Urinalysis codes are for __________ test performed on urineChemistry...
Established patients should be required to re-verify their information...
A common error that can cause a claim to be rejected is
How frequently claims are submitted can vary depending on
A written appeal request must contain
Patients should be required to updated their information forms at...
When a patient signs an assignment of benefits, he or she is...
An explanation of benefits (EOB) is sometimes called a remittance...
Downcoding is when claims are submitted with outdated, deleted, or...
Before appealing a claim, the health insurance professional should...
Tumor grade is determine through a microscopic evaluation of the tumor...
Biopsy
Give the accented syllable in the following terms:anisocytosis:
Give the accented syllable in the following terms:anticoagulant:
Give the accented syllable in the following terms:eosinophil:
Give the accented syllable in the following terms:myelodysplasia:
Give the accented syllable in the following terms:leukocytopenia:
Protein threads that form the basis of a blood clot
Time required for venous blood to clot in a test tube
Proteins made by lymphocytes in response to antigens in the blood:...
Any blood disorder: dys_________
Symptoms of disease return: Re__________
Study of the shape of cells: ____________ology
A cell that engulfs another cell: ___________cyte
Kary/o
Neutr/o
Sider/o
Phag/o
Thromb/o
-apheresis
-cytosis
-stasis
-oid
Hypo-
Mega-
Micro-
Mono-
Poly-
Services in pathology/laboratory are provided by a physician or by...
A service that is rarely provided, unusual, variable or new would...
Pathologists have specific codes for clinical pathology consultations
Quantitative analysis is defined as
Immature red blood cell
Symptoms of disease return
Relieving symptoms, but not curing disease
Process of clotting
Large cell that engulfs foreign material and worn out red cells
Select the term that is spelled correctly
Select the term that is spelled correctly
Select the term that is spelled correctly
Change in structure and function of a cell as it matures;...
Deficiency of iron
If the health insurance professional believes a claim has been wrongly...
The claims process actually starts with the patients appointment
After the patient information form is completed, the health insurance...
The EIN is a 9 digit number that serves as a taxpayers identifying...
When a claims error is discovered that could result in inaccurate...
EOB's can only be submitted in an electronic format
There are five different levels of the medicare appeals process
A telephone hearing is one of three ways in which a request for fair...
Pain may be described as
Products lacking FDA approval may mean ingredients listed outside the...
A large cell that engulfs and destroys foreign material
Blood protein found in red blood cells
Formation of red blood cells
Relieving pain, but not curing an illness
Symptoms of disease disappear
Adjudication is the process by which
When a coordination of benefits situation exists, the health insurance...
Mechanical and chemical barriers, the inflammatory response, and the...
The basic responsibility of the national correct coding initiative is...
Colon, total resection
Leuk/o
Stoppage or control of blood flow : hemo______
Myel/o
Morph/o
-blast
What type of drug test measures the amount of a drug in the specimen
The postmortem codes 88000-88099 represent physician services only
During the evocative suppression testing, the correct codes for the...
Qualitative analysis is defined as
Select the term that is spelled correctly
Select the term that is spelled correctly
A type of inherited anemia marked by defective type of hemoglobin in...
When coding chemistry tests an analyte is measured in multiple...
There are different codes for Helicobacter pylori (H.pylori) depending...
Relieving symptoms but not curing
Deficiency of a type of white blood cell
What is the first key to successful claims processing
Before the health insurance professional can complete and submit a...
Documenting the appropriate medical information in the patients health...
Services that typically require preauthorization or precertification...
To complete the entire claims process a paper claim typically takes
Generally, if a claim is reduced or rejected, the problem lies with
The key to knowing how much of the claim was paid how much was not and...
A review request for part A must come within _______ from the date of...
If a patient is incapacitated in any way the health insurance...
It is the patients responsibility to document nonmedical comments in...
The textbook outlines six keys to successful claims processing
Correct code initiative edits are the result of the national correct...
If a patient and his/her spouse are covered under two separate...
An appeal must be in writing, and there are no time limits for...
Hearing on record is when a hearing officer investigates all aspects...
Pathogens cause disease by
Smoking, drinking, nutrition, and lack of exercise are examples of
Among some common concerns about the health issues of older adults are...
Antigen
Lack of mature erythrocytes owing to inability to absorb vitamin B12
Symptoms of disease return
Speed at which red cells settle out of plasma
If patients are covered by two insurance plans the health insurance...
If a provider (or beneficiary) is dissatisfied with the administrative...
Only the provider has the right to appeal a rejected insurance claim
Immunodeficiency disorders result from
Which statement(s) is (are) true about understanding the patients pain
The philosophy of hospice affirms life and neither hastens nor...
Inherited defect in the ability to produce hemoglobin
Excessive bleeding caused by lack of Factor VIII or IX
Lymphoblasts predominate in the blood; most often seen in children
There is a second insurance policy, block 11d on the CMS-1500 form...
When reporting organ or disease oriented panels if all but one of the...
In therapeutic drug assays (80150-80299) the examination is...
What is the name given to grouped laboratory work that represents...
Protein found in blood; maintains the proper amount of water in blood
For repeat laboratory tests performed on the same day the correct...
Bursa/synovial cyst
Deficiency in numbers of white blood cells
Increase in red blood cells
Platelet precursor found in bone marrow
A 9 digit number required by businesses to serve as their taxpayer...
The medicare program has a multileveled appeal process. how many...
Genetic diseases may be
Malignant tumors
Anaphylaxis, serum sickness, arthralgia, and status asthmaticus are
The use of hormone therapy and immunotherapy in the treatment of...
Neoplasm
Symptoms of pallor, shortness of breath, infection, bleeding gums,...
IgM, IgG, IgA, IgD, and IgE are
Lack of mature red cells owing to inability to absorb vitamin B12
White blood cell with dense, reddish granules (associated with...
Determines the numbers of different types of leukocytes
Determines the shape or form of erythrocytes
Small amount of bone marrow is aspirated and examined under a...
Total amount of a blood protein is measured in a sample of blood
Transfusion medicine codes are located in the pathology and laboratory...
A surgical pathology specimen that is not listed in the pathology code...
An alternative to the suspension file is to record claims information...
An explanation of benefits is often referred to as a
 a request for a fair hearing is pursued in one of three ways....
Signs of disease
Benign tumors
In preventative health care the emphasis is on
Osteopathy
The holistic concept of medical care focuses on
Gene therapy is now a common intervention and proven cure for many...
Mutation
Separation of clotting cells from the rest of the blood (using a...
Percentages of erythrocytes in a volume of blood
Any abnormal or pathological condition of the blood
Both mature and immature granulocytes are present in bone marrow and...
 the pathology/laboratory section of the CPT, drugs are listed by...
Select the term that is spelled correctly
Select the term that is spelled correctly
Abnormal condition of blood clotting
A substance that prevents clotting of blood
Failure of blood cell production due to absence of formation of cells...
Venous blood is clotted in a test tube
Blood smear is examined to determine the shape or form of cells
Blood protein that maintains the proper proportion and concentration...
What type of drug test measures the presence of a drug in the specimen
What name is given to cultures for identification of organisms, as...
A suspension file is a series of files normally set up
A suspension file is a series of files set up alphabetically and...
To pursue the third level of appeal, the claim amount in question must...
Homeostasis refers to
Prigment produced from hemoglobin when red blood cells are destroyed
Separation of white blood cells from the rest of the blood (using a...
Breakdown of recipients red blood cells when incompatible blood are...
Malignant tumor of bone marrow
Separation of blood into its parts
What is the name of the subsection within pathology/laboratory that...
Which of the following correctly states the sequence of an allergic...
Which of the following most accurately states the orderly steps in...
Multiple pinpoint hemorrhages; thrombocytopenia
Erythermia
Codes in the pathology/laboratory section, evocation/suppression...
Reduction in red cells due to excessive cell destruction
Inherited defect in ability to produce hemoglobin
Immature bone marrow cell that develops into a white blood cell
Plasma protein that contains antibodies
Condition of irregularly shaped cells(red blood cells)
Condition of cells of unequal size (red blood cells)
Breast mastectomy-partial/simple
Protein threads that form the basis of a clot
The common term for submitting claims with outdated, deleted, or...
Of the various types of hearing, the one that is considered to be the...
Participating providers can balance bill, but nonparticipating...
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