Scribe America Outpatient Final Exam 2026/2027
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A patient's PCP is on vacation. The patient is scheduled to
see the NP who is covering for the PCP during this time.
The patient has never been seen by the NP before. Is this
patient considered a new patient or an established
patient? - Answer-Established
A patient is diagnosed with back strain caused by heavy
lifting. As part of the treatment, the physician discusses 4-
5 different back stretching exercises that the patient can
perform every morning and before doing any heavy lifting.
The discussion only takes 10 minutes of a 15 minute
Established Patient visit. Would your physician be able to
bill counseling time on this patient? - Answer-Yes
What medical term would best describe "the likely course
or outcome of a disease"? - Answer-Prognosis
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Which section of the chart should you document when you
hear the following cue "what medical problems do you
have"? - Answer-PHx
You are writing an HPI for a patient who presented for
hyperlipidemia management. In the middle of the visit,
your patient also reports having recently experienced
urinary symptoms. Which HPI structure would be the best
to use in this scenario? - Answer-Multiple complaints
structure
Which of the following is NOT a purpose of HITECH? -
Answer-- To require patient accountability in paying for
their health care visit
- To require government accountability on health insurance
plans available in the market place
-To require equal access, opportunity, and affordability for
health insurance plans by screening patient health
information
What medical term would describe a patient with a history
of infection or inflammation of the liver? - Answer-Hepatitis
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For correct billing and reimbursement to go through, a
counseling note requires documentation of the following: -
Answer-- Total time with the patient
- Percentage of time spent counseling
You are writing an HPI for a very complex patient who has
had multiple recent hospital admissions for lung cancer.
Which HPI structure would be the best to use in this
scenario? - Answer-Chronologic structure
Which of the following would be valid complications for
CAD? - Answer-MI
* 57 year old male patient presented with RLQ abdominal
pain, which began 5 days ago. He states that he was
mowing the lawn when the pain began. Patient reports he
took OTC Tylenol yesterday without relief. There has been
no nausea, vomiting or diarrhea. - Answer-Yes, the HPI
meets Level 4 billing criteria.
What are the possible consequences of a HIPAA violation?
(select all that apply) - Answer-- Termination
-Monetary fines to you and the hospital