final exam- scribe ACTUAL UPDATED QUESTIONS AND CORRECT ANSWERS
What medical term describes the surgical removal of the Cholecystectomy
gallbladder?
What does "PHI" stand for? 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 the Craniotomy
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? 1. To require equal access, opportunity, and affordability for health insurance plans
by screening patient health information
2. To require government accountability on health insurance plans available in the
market place
3. To require encryption when using technology to transmit patient related
information
4. To require patient accountability in paying for their health care visit
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 1. Total time with the patient
counseling note requires docuementation of the 2. Percentage of time spent counseling
following:
What medical term describes the surgical removal of the Cholecystectomy
gallbladder?
What does "PHI" stand for? 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 the Craniotomy
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? 1. To require equal access, opportunity, and affordability for health insurance plans
by screening patient health information
2. To require government accountability on health insurance plans available in the
market place
3. To require encryption when using technology to transmit patient related
information
4. To require patient accountability in paying for their health care visit
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 1. Total time with the patient
counseling note requires docuementation of the 2. Percentage of time spent counseling
following:
