TEST BANK Comprehensive
Questions and Verified Accurate
Solution (Detailed & Elaborated)
2026 TEST!!
Define diagnostic reasoning - 🧠 ANSWER ✔✔Reflective thinking because
the process involves questioning one's thinking to determine if all possible
avenues have been explored and if the conclusions that are being drawn
are based on evidence.
,Seen as a kind of critical thinking.
What is subjective data? - 🧠 ANSWER ✔✔What the patient tells you,
complains of, etc.
Chief complaint
HPI
ROS
What is objective data? - 🧠 ANSWER ✔✔What YOU can see, hear, or feel
as part of your exam.
Includes lab data, diagnostic test results.
Components of HPI - 🧠 ANSWER ✔✔Specifically related to the chief
complaint only.
Detailed breakdown of CC.
,OLDCART
Why must every procedure code have a corresponding diagnosis code? - 🧠
ANSWER ✔✔Diagnosis code explains the necessity of the procedure
code.
Insurance won't pay if they don't correspond.
What are the three components required in determining an outpatient office
visit E&M code? - 🧠 ANSWER ✔✔Place of service
Type of service
Patient status
What is medical coding? - 🧠 ANSWER ✔✔The use of codes to
communicate with payers about which procedures were performed and
why
What is medical billing? - 🧠 ANSWER ✔✔Process of submitting and
following up on claims made to a payer in order to receive payment for
medical services rendered by a healthcare provider.
What are CPT codes? - 🧠 ANSWER ✔✔Common procedural terminology
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, Offers the official procedural coding rules and guidelines required when
reporting medical services and procedures performed by physician and
non-physician providers.
What are ICD codes? - 🧠 ANSWER ✔✔International classification of
disease
Used to provide payer info on necessity of visit or procedure performed.
What is specificity? - 🧠 ANSWER ✔✔The ability of the test to correctly
detect a specific condition.
If a patient has a condition but test is negative, it is a false negative.
If a patient does NOT have a condition but the test is positive, it is a false
positive.
What is sensitivity? - 🧠 ANSWER ✔✔Test that has few false negatives.
Ability of a test to correctly identify a specific condition when it is present.