Week
1 - Dunphy, L. M....(2015). Primary care: The art and science of advanced practice nursing
(4th ed.)
• Chapter 3: Health Promotion
• Chapter 4: The Art
• Chapter 5: Evidence-Based Practice
• Chapter 22: The Business of Advanced Practice
1. E&M codes are ____________: evaluation and management (E&M)
2. Key Parts of the HPI -- OLDCART: Onset Location Duration Characteristics
Aggravating Factors Relieving Factors Treatment
3. OLDCART: Onset -- When did this problem
start? How did it start?
Location -- Where exactly are the symptoms experienced?
Duration --Are the symptoms constant, fluctuating, getting better or worse? Has it
changed over time?
Characteristics -- How are the symptoms experienced? Dull ache, sharp pain, heat,
or electrical? For an injury, exactly how did the injury occur (the mechanism of
injury)?
Aggravating factors -- What makes the symptoms worse?
Relieving factors -- What makes the symptoms better? Can a specific location
be identified, or is the problem more generalized? Has the symptom moved?
Treatment -- What have you done so far to try to help the problem?
4. The overall level of Medical Decision-Making (MDM) in E&M is determined
by which 3 areas?:
1. Number of diagnoses or management options:
1/6
, Week
1 - Dunphy, L. M....(2015). Primary care: The art and science of advanced practice nursing
(4th ed.)
• Chapter 3: Health Promotion
• Chapter 4: The Art
• Chapter 5: Evidence-Based Practice
Minimal Limited
Multiple
Extensive
2. Amount and/or complexity of data to be reviewed:
Minimal
• Chapter 22: The Business of Advanced Practice
Study online at https://quizlet.com/_4rpxlw
Limited
Multiple
Extensive
3. Risk of complications and/or morbidity or mortality
Minimal
Low
Moderate
Extensive
4 = OVERALL RATING/Level of Complexity of Medical Decision-Making:
STRAIGHTFORWARD,
LOW COMPLEXITY,
MODERATE COMPLEXITY,
HIGH COMPLEXITY
5. The three elements needed to determine the level of complexity of a
visit include risk, data, and _____.
2/6
1 - Dunphy, L. M....(2015). Primary care: The art and science of advanced practice nursing
(4th ed.)
• Chapter 3: Health Promotion
• Chapter 4: The Art
• Chapter 5: Evidence-Based Practice
• Chapter 22: The Business of Advanced Practice
1. E&M codes are ____________: evaluation and management (E&M)
2. Key Parts of the HPI -- OLDCART: Onset Location Duration Characteristics
Aggravating Factors Relieving Factors Treatment
3. OLDCART: Onset -- When did this problem
start? How did it start?
Location -- Where exactly are the symptoms experienced?
Duration --Are the symptoms constant, fluctuating, getting better or worse? Has it
changed over time?
Characteristics -- How are the symptoms experienced? Dull ache, sharp pain, heat,
or electrical? For an injury, exactly how did the injury occur (the mechanism of
injury)?
Aggravating factors -- What makes the symptoms worse?
Relieving factors -- What makes the symptoms better? Can a specific location
be identified, or is the problem more generalized? Has the symptom moved?
Treatment -- What have you done so far to try to help the problem?
4. The overall level of Medical Decision-Making (MDM) in E&M is determined
by which 3 areas?:
1. Number of diagnoses or management options:
1/6
, Week
1 - Dunphy, L. M....(2015). Primary care: The art and science of advanced practice nursing
(4th ed.)
• Chapter 3: Health Promotion
• Chapter 4: The Art
• Chapter 5: Evidence-Based Practice
Minimal Limited
Multiple
Extensive
2. Amount and/or complexity of data to be reviewed:
Minimal
• Chapter 22: The Business of Advanced Practice
Study online at https://quizlet.com/_4rpxlw
Limited
Multiple
Extensive
3. Risk of complications and/or morbidity or mortality
Minimal
Low
Moderate
Extensive
4 = OVERALL RATING/Level of Complexity of Medical Decision-Making:
STRAIGHTFORWARD,
LOW COMPLEXITY,
MODERATE COMPLEXITY,
HIGH COMPLEXITY
5. The three elements needed to determine the level of complexity of a
visit include risk, data, and _____.
2/6
