ScribeAmerica OP Final UPDATED ACTUAL QUESTIONS AND CORRECT ANSWERS
* What medical term describes the surgical removal of cholecystectomy
the gallbladder?
What does "PHI" stand for? Expand the abbreviation. Protected Health Information
, T/F. Sharing information about a case with family is False
allowed, as long as you are scribing with the physician
assigned to the case.
** A patient underwent brain surgery to treat bleeding in craniotomy
the brain from a stroke. What PSHx would you record into
the chart?
A patient's PCP is on vacation. The patient is scheduled to Established
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?
A patient is diagnosed with back strain caused by heavy Yes
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?
What medical term would best describe "the likely course Prognosis
or outcome of a disease"?
Which section of the chart should you document when PHx
you hear the following cue "what medical problems do
you have"?
You are writing an HPI for a patient who presented for Multiple complaints structure
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?
Which of the following is NOT a purpose of HITECH? - 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 Hepatitis
history of infection or inflammation of the liver?
For correct billing and reimbursement to go through, a - Total time with the patient
counseling note requires documentation of the following: - Percentage of time spent counseling
You are writing an HPI for a very complex patient who Chronologic structure
has had multiple recent hospital admissions for lung
cancer. Which HPI structure would be the best to use in
this scenario?
* What medical term describes the surgical removal of cholecystectomy
the gallbladder?
What does "PHI" stand for? Expand the abbreviation. Protected Health Information
, T/F. Sharing information about a case with family is False
allowed, as long as you are scribing with the physician
assigned to the case.
** A patient underwent brain surgery to treat bleeding in craniotomy
the brain from a stroke. What PSHx would you record into
the chart?
A patient's PCP is on vacation. The patient is scheduled to Established
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?
A patient is diagnosed with back strain caused by heavy Yes
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?
What medical term would best describe "the likely course Prognosis
or outcome of a disease"?
Which section of the chart should you document when PHx
you hear the following cue "what medical problems do
you have"?
You are writing an HPI for a patient who presented for Multiple complaints structure
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?
Which of the following is NOT a purpose of HITECH? - 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 Hepatitis
history of infection or inflammation of the liver?
For correct billing and reimbursement to go through, a - Total time with the patient
counseling note requires documentation of the following: - Percentage of time spent counseling
You are writing an HPI for a very complex patient who Chronologic structure
has had multiple recent hospital admissions for lung
cancer. Which HPI structure would be the best to use in
this scenario?
