NR511 Midterm Exam Study Guide Questions and
Answers Attained grade A+ new update 2022
Week 1
1. Define diagnostic reasoning
Reflective thinking because the process involves questioning
one’s thinking to determining 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.
2. Discuss and identify subjective & objective data
- Subjective: What the pt tells you, complains of, etc. *Chief
complaint, HPI, ROS
- Objective: What YOU can see, hear, or feel as part of your
exam. *lab, data, dx test results.
3. Discuss and identify the components of the HPI
Specifically related to the CC only. Detailed breakdown of CC.
OLDCART.
4. Describe the differences between medical billing and medical
coding
- Medical coding: The use of codes to communicate with
payers about which procedures were performed and why
- Medical billing: Process of submitting and following up on
claims made to a payer in order to receive payment for medical
NR511 Midterm Exam Study Guide Questions and
Answers Attained grade A+ new update 2022
,NR511 Midterm Exam Study Guide Questions and
Answers Attained grade A+ new update 2022
services rendered by a healthcare provider.
5. Compare and contrast the 2 coding classification systems that
are currently used in the US healthcare system
- CPT codes: Common procedural terminology. Offers the
official procedural coding rules and
guidelines required when reporting medical services and
procedures performed by physician and nonphysician orders.
- ICD codes: International classification of disease. Used to
provide payer info on necessity of visit or procedure performed.
6. Discuss how specificity, sensitivity & predictive value contribute
to the usefulness of the diagnostic data
- Specificity: 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.
- Sensitivity: Test that has few false negatives. Ability of a test
to correctly identify a specific condition when it is present. The
higher the sensitivity, the lesser the likelihood of a false negative.
- Predictive Value: The likelihood that the pt actually has the
condition and is, in part, dependent upon the prevalence of the
condition in the population. If a condition is highly likely, the
NR511 Midterm Exam Study Guide Questions and
Answers Attained grade A+ new update 2022
,NR511 Midterm Exam Study Guide Questions and
Answers Attained grade A+ new update 2022
positive result would be more accurate.
7. Discuss the elements that need to be considered when
developing a plan
Patient’s preferences and actions. Research evidence. Clinical
state/circumstances. Clinical expertise.
NR511 Midterm Exam Study Guide Questions and
Answers Attained grade A+ new update 2022
, NR511 Midterm Exam Study Guide Questions and
Answers Attained grade A+ new update 2022
8. Describe the components of Medical Decision Making in E&M
coding
Risk – data – diagnosis. The more time and consideration involved
in dealing with a pt, the higher the reimbursement from the
payer. Documentation must reflect the MDM!
9. Correctly order the E&M office visit codes based on complexity
from least to most complex
New patient:
1. Minimal/RN visit: 99201
2. Problem focused: 99202
3. Expanded problem focused: 99203
4. Detailed: 99204
5. Comprehensiv
e: 99205
Established
patient:
6. Minimal/RN patient: 99211
7. Problem focused: 99212
8. Expanded problem focused: 99213
9. Detailed: 99214
10. Comprehensive: 99215
NR511 Midterm Exam Study Guide Questions and
Answers Attained grade A+ new update 2022
Answers Attained grade A+ new update 2022
Week 1
1. Define diagnostic reasoning
Reflective thinking because the process involves questioning
one’s thinking to determining 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.
2. Discuss and identify subjective & objective data
- Subjective: What the pt tells you, complains of, etc. *Chief
complaint, HPI, ROS
- Objective: What YOU can see, hear, or feel as part of your
exam. *lab, data, dx test results.
3. Discuss and identify the components of the HPI
Specifically related to the CC only. Detailed breakdown of CC.
OLDCART.
4. Describe the differences between medical billing and medical
coding
- Medical coding: The use of codes to communicate with
payers about which procedures were performed and why
- Medical billing: Process of submitting and following up on
claims made to a payer in order to receive payment for medical
NR511 Midterm Exam Study Guide Questions and
Answers Attained grade A+ new update 2022
,NR511 Midterm Exam Study Guide Questions and
Answers Attained grade A+ new update 2022
services rendered by a healthcare provider.
5. Compare and contrast the 2 coding classification systems that
are currently used in the US healthcare system
- CPT codes: Common procedural terminology. Offers the
official procedural coding rules and
guidelines required when reporting medical services and
procedures performed by physician and nonphysician orders.
- ICD codes: International classification of disease. Used to
provide payer info on necessity of visit or procedure performed.
6. Discuss how specificity, sensitivity & predictive value contribute
to the usefulness of the diagnostic data
- Specificity: 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.
- Sensitivity: Test that has few false negatives. Ability of a test
to correctly identify a specific condition when it is present. The
higher the sensitivity, the lesser the likelihood of a false negative.
- Predictive Value: The likelihood that the pt actually has the
condition and is, in part, dependent upon the prevalence of the
condition in the population. If a condition is highly likely, the
NR511 Midterm Exam Study Guide Questions and
Answers Attained grade A+ new update 2022
,NR511 Midterm Exam Study Guide Questions and
Answers Attained grade A+ new update 2022
positive result would be more accurate.
7. Discuss the elements that need to be considered when
developing a plan
Patient’s preferences and actions. Research evidence. Clinical
state/circumstances. Clinical expertise.
NR511 Midterm Exam Study Guide Questions and
Answers Attained grade A+ new update 2022
, NR511 Midterm Exam Study Guide Questions and
Answers Attained grade A+ new update 2022
8. Describe the components of Medical Decision Making in E&M
coding
Risk – data – diagnosis. The more time and consideration involved
in dealing with a pt, the higher the reimbursement from the
payer. Documentation must reflect the MDM!
9. Correctly order the E&M office visit codes based on complexity
from least to most complex
New patient:
1. Minimal/RN visit: 99201
2. Problem focused: 99202
3. Expanded problem focused: 99203
4. Detailed: 99204
5. Comprehensiv
e: 99205
Established
patient:
6. Minimal/RN patient: 99211
7. Problem focused: 99212
8. Expanded problem focused: 99213
9. Detailed: 99214
10. Comprehensive: 99215
NR511 Midterm Exam Study Guide Questions and
Answers Attained grade A+ new update 2022
