Clinical Operations & Patient Care Flashcards
7 cards from real CDC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Clinical Operations & Patient Care flashcards as text
A dental consultant reviews a claim where a dentist billed for four quadrants of full-mouth debridement (D4355) and scaling and root planing (D4341) on the same date of service. What is the most appropriate action?
Answer: Deny the D4341 codes, as D4355 and D4341 cannot be billed on the same date for the same patient
Full-mouth debridement (D4355) and scaling and root planing (D4341) are mutually exclusive on the same date; D4355 is a precursor procedure to allow proper evaluation before definitive periodontal therapy.
A pediatric patient requires restorative treatment but becomes increasingly uncooperative. The parent requests the dentist use physical restraint. What is the dental consultant's role in evaluating this scenario?
Answer: Ensure documentation shows informed consent, clinical necessity, and that alternative behavior management was attempted
Physical restraint (protective stabilization) requires documented informed consent, demonstrated clinical necessity, and evidence that less restrictive behavioral management techniques were tried first.
What is the primary purpose of the American Association of Dental Consultants (AADC) Code of Ethics for dental consultants?
Answer: To guide consultants in applying clinical knowledge objectively and fairly to benefit patients and payers
The AADC Code of Ethics guides dental consultants to apply their clinical expertise objectively, fairly, and in a manner that serves the best interests of patients and the integrity of the benefit system.
A patient with Type 2 diabetes presents for a complex extraction. Which clinical consideration is most important for the dental consultant to evaluate?
Answer: The patient's current glycemic control, as HbA1c levels affect healing and infection risk
HbA1c levels reflect long-term glycemic control; poorly controlled diabetes impairs wound healing, increases infection risk, and may necessitate medical consultation before invasive dental procedures.
Under OSHA's Hazard Communication Standard, dental offices must maintain Safety Data Sheets (SDS) for which materials?
Answer: For all hazardous chemicals used in the workplace, accessible to employees at all times
OSHA's Hazard Communication Standard requires SDS to be maintained for all hazardous chemicals present in the workplace and to be readily accessible to employees during each work shift.
A dental consultant is reviewing a claim for a Maryland bridge (D6545). Which clinical situation would most justify this treatment?
Answer: Replacement of an anterior tooth in a young patient where abutment teeth are intact
Maryland bridges are most appropriate for replacing single anterior teeth in patients with healthy, intact abutment teeth where minimal tooth reduction is desirable, particularly in younger patients.
When a dental office's autoclave fails a spore test, what is the required immediate action?
Answer: Take the autoclave out of service, recall and re-sterilize all items processed since the last successful test, and contact the manufacturer
A failed biological indicator (spore test) requires immediately removing the autoclave from service, recalling all items processed since the last successful test for re-sterilization, and identifying the cause of failure.