FINAL WEEK 5 - 8 EXAM: NR511 / NR-511 (LATEST
UPDATES STUDY BUNDLE WITH COMPLETE
SOLUTIONS) DIFFERENTIAL DIAGNOSIS & PRIMARY
CARE PRACTICUM | QUESTIONS AND ANSWERS |
100% CORRECT | GRADE A - CHAMBERLAIN
Define Diagnostic Reasoning .....ANSWER.....To solve problems, to
promote health, and to screen for disease or illness. All require a
sensitivity to complex stories, to contextual factors, and to sense
of probability and uncertainty.
Can be seen as a kind of critical thinking.
Discuss and identify subjective data .....ANSWER.....reports,
complaints of , replies to provider questions, includes ROS, CC,
HPI
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Discuss and identify objective data .....ANSWER.....what you can
see, hear, or feel as part of a clinical exam. Also includes
laboratory data and test results.
Discuss and identify the components of and HPI
.....ANSWER.....OLDCARTS
Onset of CC, Location of CC, Duration of CC, Characteristics of
CC, Aggravating factors of CC, Relieving factors of CC,
Treatment of CC, Severity of CC
Medical coding .....ANSWER.....the use of codes to communicate
with payers about which procedures were performed and why
Medical billing .....ANSWER.....the process of submitting and
following up on claims made to a payer in order to receive
payment for medical services rendered by a healthcare provider
2 Coding Classification systems that are currently used in the US
healthcare system .....ANSWER.....CPT-recognized universally and
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provide logical means to be able to track healthcare data,
trends, and outcomes.
ICD-10-shorthand for the patient's diagnosis, which are used to
provide the payer information on the necessity of the visit or
procedures performed.
Specificity .....ANSWER.....referring to the ability of the test to
correctly detect a specific condition
Sensitivity .....ANSWER.....a test with a few false negatives
Predictive value .....ANSWER.....likelihood the patient actually has
a condition and is in part dependent upon the prevalence of the
condition in the population
Elements needed when developing a plan
.....ANSWER.....acknowledge the list, negotiate what to cover, be
honest, make a follow up
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Components of medical decision making (E&M) coding
.....ANSWER.....history, physical, medical decision making E&M
coding requires a medical decision maker
a way of quantifying the complexity of the thinking that is
required for the visit-complexity=risk, data, diagnosis
MDM score gives credit for the excess work involved in
management of a more complex patient
Correctly order the E&M office visits based on complexity from
least to most complex .....ANSWER.....99212-99214
Discuss a minimum of three purposes of the written H&P in
relation to the importance of documentation
.....ANSWER.....Important reference document that gives concise
information about a patient's history and exam finding