3/15/25, 8:29 AM NR511 Final
NR511 TEST BANK FINAL EXAM 2025 NEWEST
VERSION WITH COMPLETE QUESTIONS AND
ACCURATE ANSWERS \\GRADED A+
Terms in this set (94)
Specificity: greater when it has few false positives
The number of true negatives divided by the number
of all tested individuals who do not have the dz
Sensitivity: greater when it has few false negatives
The number of true positives divided by the number
of tested individuals that do have the dz
Discuss how specificity, Predictive value: in part dependent on prevalence of
sensitivity, predictive value condition
contribute to usefulness of Positive predictive value: the number of true positives
diagnostic data divided by all those that are positive
Negative predictive value: the number of true
negatives divided by all those that are negative
False positive: when a pt does NOT have dz, but has
positive reading
False negative: when a pt that DOES have dz, but has
negative reading
1/46
,3/15/25, 8:29 AM NR511 Final
Diagnostic testing (what tests need to be conducted
to clarify assessment)
Discuss the elements that
Education (specific problems being managed)
need to be considered
Follow-up (when will the pt need to be seen again)
when developing a plan
Be honest
Negotiate what to cover
2/46
,3/15/25, 8:29 AM NR511 Final
Three key components that determine risk based E&M
codes:
History
Physical
MDM
E&M coding requires a decision-maker
Describe the components
of medical decision MDM is another way of quantifying complexity of the
making (MDM) in E&M thinking that is required for the visit
coding
Complexity of visit is based on 3 criteria:
Risk
Data
Dx
MDM score gives us credit for the excess work
involved in management of a more complex pt.
New:
99201 (minimal/RN visit)
99202 (problem-focused)
99203 (expanded problem-focused)
99204 (detailed)
Correctly order the E&M
99205 (comprehensive)
office visit codes based
on complexity from least
Established:
to most complex
99211 (minimal/RN visit)
99212 (problem-focused)
99213 (expanded problem-focused
99214 (detailed)
99215 (comprehensive)
3/46
, 3/15/25, 8:29 AM NR511 Final
-Important reference that gives concise info about
pt's Hx and exam findings
-Outlines plan for addressing issues that prompted
Discuss a minimum of 3 visit. Info should be presented in logical fashion that
purposes of the written prominently features all data immediately relevant to
H&P in relation to the pt's condition.
importance of -A means of communicating info to all providers who
documentation are involved in care of the pt.
-Important medical-legal document
-Essential in order to accurately code and bill for
services.
Why does every To explain necessity of why it was done
procedure code need a May represent actual procedure or nonprocedural
corresponding dx code? encounter (like office visit)
New: a pt who has not received services from this
Correctly ID a pt as new provider before or who has not been seen by
or established given the provider in >3yrs
historical info
Established: pt who has seen provider within last 3yrs
ID 3 components required Plan of service
in determining an outpt Type of service
office visit E&M code Pt status
Risk
Describe the components
Data
of MDM in E&M coding
Dx
To experience a variety of pts during clinical across
Explain what a well-
the lifespan
rounded clinical
15% peds of total clinical time in program
experience means
15% women's health of total clinical time in program
State max number of hrs No more than 25% of total practicum hrs in that
that time can be spent course
rounding in a facility
4/46
NR511 TEST BANK FINAL EXAM 2025 NEWEST
VERSION WITH COMPLETE QUESTIONS AND
ACCURATE ANSWERS \\GRADED A+
Terms in this set (94)
Specificity: greater when it has few false positives
The number of true negatives divided by the number
of all tested individuals who do not have the dz
Sensitivity: greater when it has few false negatives
The number of true positives divided by the number
of tested individuals that do have the dz
Discuss how specificity, Predictive value: in part dependent on prevalence of
sensitivity, predictive value condition
contribute to usefulness of Positive predictive value: the number of true positives
diagnostic data divided by all those that are positive
Negative predictive value: the number of true
negatives divided by all those that are negative
False positive: when a pt does NOT have dz, but has
positive reading
False negative: when a pt that DOES have dz, but has
negative reading
1/46
,3/15/25, 8:29 AM NR511 Final
Diagnostic testing (what tests need to be conducted
to clarify assessment)
Discuss the elements that
Education (specific problems being managed)
need to be considered
Follow-up (when will the pt need to be seen again)
when developing a plan
Be honest
Negotiate what to cover
2/46
,3/15/25, 8:29 AM NR511 Final
Three key components that determine risk based E&M
codes:
History
Physical
MDM
E&M coding requires a decision-maker
Describe the components
of medical decision MDM is another way of quantifying complexity of the
making (MDM) in E&M thinking that is required for the visit
coding
Complexity of visit is based on 3 criteria:
Risk
Data
Dx
MDM score gives us credit for the excess work
involved in management of a more complex pt.
New:
99201 (minimal/RN visit)
99202 (problem-focused)
99203 (expanded problem-focused)
99204 (detailed)
Correctly order the E&M
99205 (comprehensive)
office visit codes based
on complexity from least
Established:
to most complex
99211 (minimal/RN visit)
99212 (problem-focused)
99213 (expanded problem-focused
99214 (detailed)
99215 (comprehensive)
3/46
, 3/15/25, 8:29 AM NR511 Final
-Important reference that gives concise info about
pt's Hx and exam findings
-Outlines plan for addressing issues that prompted
Discuss a minimum of 3 visit. Info should be presented in logical fashion that
purposes of the written prominently features all data immediately relevant to
H&P in relation to the pt's condition.
importance of -A means of communicating info to all providers who
documentation are involved in care of the pt.
-Important medical-legal document
-Essential in order to accurately code and bill for
services.
Why does every To explain necessity of why it was done
procedure code need a May represent actual procedure or nonprocedural
corresponding dx code? encounter (like office visit)
New: a pt who has not received services from this
Correctly ID a pt as new provider before or who has not been seen by
or established given the provider in >3yrs
historical info
Established: pt who has seen provider within last 3yrs
ID 3 components required Plan of service
in determining an outpt Type of service
office visit E&M code Pt status
Risk
Describe the components
Data
of MDM in E&M coding
Dx
To experience a variety of pts during clinical across
Explain what a well-
the lifespan
rounded clinical
15% peds of total clinical time in program
experience means
15% women's health of total clinical time in program
State max number of hrs No more than 25% of total practicum hrs in that
that time can be spent course
rounding in a facility
4/46
