(COMPLETEScribe America
SOLUTIONS) OP Final SUCCESS
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1. last day of the month get paid on what day for hours worked 10th-24th?
2. 16th get paid on what day for hours worked 25th-9th?
3. Sunday the work week starts on what day of the week?
4. subjective feeling (from patient)
5. objective fact (from provider)
6. pain patient's feeling, subjective
7. tenderness physician's observation, objective
8. benign normal, nothing of conern
9. acute of new onset, less than 3 months
10. chronic long standing, more than 3 months
11. baseline an individual's normal state of being
12. auscultation listening with a stethoscope
13. palpation the act of pressing on an area by the physician
14. inpatient admitted to the hospital overnight
15. outpatient seen and sent home the same day
16. chief complaint the main reason for the patient's visit
17. mid-level provider NP or PA; works under the supervision of a physician to diagnose and
treat patients
18. medical assistant
, Scribe America OP Final Exam
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MA or nurse who records medical histories and symptoms, monitors
patient, administers medications, assists with procedures
19. scribe documents the patient's visit on behalf of the physician
20. new patient individual who has not been seen in the clinic in the past 3 years,
regardless of being seen prior to 3 year absence; no previous records,
longer visit, detailed chart
21. established patient individual who has been seen in the clinic within the past 3 years;
previous records available, shorter visit, concise chart
22. diagnostic a clinic visit is __ if there is a new problem, CC is a new symptom,
and goal is to determine the cause of the problem and appropriate
treatment
23. health management a clinic visit is __ if it is a check-up, CC is routine physical or man-
agement of chronic problems, goal is preventative care or assessing
progress of ongoing medical problems
24. subjective HPI, ROS, PMSHx, SHx, FHx
25. objective PE, orders and results
26. assessment current diagnoses
27. plan treatment and follow up
28. coronary artery disease if patient says heart disease, write
29. myocardial infarction if patient says heart attack, write
and CAD
30. congestive heart failure if patient says heart failure, write