Certified Clinical Medical Assistant Exam Practice Question

Which of the following is necessary when processing an insurance claim for a post-surgical follow-up appointment?

Correct Answer: C

Rationale: Processing an insurance claim for a post-surgical follow-up appointment requires an operative report, as it provides detailed information about the surgical procedure performed, justifying the follow-up.

Option A, history and physical examination, while important for patient care, does not specifically relate to the surgical procedure itself. Option B, a radiology report, is not typically required unless imaging was directly related to the surgery. Option D, a pathology report, is relevant only if tissue samples were taken, but it is not universally necessary for all post-surgical follow-ups. Thus, the operative report is essential for validating the claim.

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