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What is the correct way to prepare a patient for a Holter monitor?
Instruct the patient to keep a diary of activities and symptoms while wearing the monitor and
to avoid getting it wet.
A medical assistant is preparing a patient for an EKG. Which of the following actions should the
assistant take first?
Ensure the patient is properly positioned in a supine position to facilitate accurate readings.
What is the primary purpose of performing an EKG?
To assess the electrical activity of the heart and identify any abnormalities in heart rhythm.
If a medical assistant notices an irregular heartbeat on the EKG tracing, what should be their next
step?
Notify the healthcare provider immediately about the abnormal finding.
During an EKG, what does the P wave represent?
The P wave represents atrial depolarization, indicating atrial contraction.
What is the significance of a QRS complex that is wider than normal?
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, A wide QRS complex may indicate a delay in ventricular conduction or a bundle branch
block.
In the context of EKG billing, what is the appropriate code for a standard EKG procedure?
CPT code 93000 is typically used for a standard EKG without interpretation.
Which lead is commonly used to assess the heart's rhythm and is placed in the left midclavicular
line?
The V4 lead is placed in the left midclavicular line in the fifth intercostal space.
What should a medical assistant do if the EKG machine is showing artifacts?
Check the lead connections, ensure the patient is still, and look for any electrical interference
nearby.
A patient reports chest pain during an exercise stress test. What should the medical assistant do
first?
Stop the test immediately and assess the patient for any further symptoms.
Which of the following is a contraindication for performing an EKG?
Severe respiratory distress may prevent the proper performance of an EKG.
When coding for EKG interpretation, which modifier may be required if the service is performed
by a different provider than the one who performs the test?
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, Modifier 26 should be used for professional component billing when the interpretation is
provided separately.
What does a flatline on an EKG indicate?
A flatline may indicate asystole, which is a medical emergency requiring immediate
intervention.
Which of the following statements is true regarding the placement of electrodes for a 12-lead
EKG?
Electrodes should be placed on clean, dry skin to ensure good conductivity and accurate
readings.
What does ST segment depression indicate on an EKG?
ST segment depression may indicate myocardial ischemia or insufficient blood flow to the
heart muscle.
What is the role of the healthcare provider in EKG interpretation?
The healthcare provider is responsible for interpreting the EKG results and making clinical
decisions based on findings.
In medical billing, what is the purpose of the superbill?
A superbill is used to capture charges for services rendered during a patient visit and
facilitates billing insurance companies.
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