ScribeAmerica OP Final Exam With 100% Correct Answers 2024. 100/100 Complete Rated A+
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ScribeAmerica OP Final Exam With 100% Correct Answers 2024. 100/100 Complete Rated A+
What medical term describes the surgical removal of the gallbladder? - Correct Answer: cholecystectomy
What does "PHI" stand for? Expand the abbreviation. - Correct Answer: Protected Health Information
T...
ScribeAmerica OP Final Exam With 100% Correct
Answers 2024. 100/100 Complete Rated A+
What medical term describes the surgical removal of the gallbladder? - Correct Answer:
cholecystectomy
What does "PHI" stand for? Expand the abbreviation. - Correct Answer: Protected Health
Information
T/F. Sharing information about a case with family is allowed, as long as you are scribingwith the
physician assigned to the case. - Correct Answer: False
A patient underwent brain surgery to treat bleeding in the brain from a stroke. What PSHx
would you record into the chart? - Correct Answer: craniotomy
A patient's PCP is on vacation. The patient is scheduled to see the NP who is covering for the
PCP during this time. The patient has never been seen by the NP before. Is thispatient
considered a new patient or an established patient? - Correct Answer: Established
A patient is diagnosed with back strain caused by heavy lifting. As part of the treatment,the
physician discusses 4-5 different back stretching exercises that the patient can perform every
morning and before doing any heavy lifting. The discussion only takes 10minutes of a 15 minute
Established Patient visit. Would your physician be able to bill counseling time on this patient? -
Correct Answer: Yes
What medical term would best describe "the likely course or outcome of a disease"? -
Correct Answer: Prognosis
Which section of the chart should you document when you hear the following cue "what
medical problems do you have"? - Correct Answer: PHx
You are writing an HPI for a patient who presented for hyperlipidemia management. Inthe
middle of the visit, your patient also reports having recently experienced urinary symptoms.
Which HPI structure would be the best to use in this scenario? - Correct Answer: Multiple
complaints structure
, Which of the following is NOT a purpose of HITECH? - Correct Answer: - To requirepatient
accountability in paying for their health care visit
- To require government accountability on health insurance plans available in themarket
place
-To require equal access, opportunity, and affordability for health insurance plans byscreening
patient health information
What medical term would describe a patient with a history of infection or inflammation ofthe
liver? - Correct Answer: Hepatitis
For correct billing and reimbursement to go through, a counseling note requiresdocumentation
of the following: - Correct Answer: - Total time with the patient
- Percentage of time spent counseling
You are writing an HPI for a very complex patient who has had multiple recent hospital
admissions for lung cancer. Which HPI structure would be the best to use in this scenario? -
Correct Answer: Chronologic structure
Which of the following would be valid complications for CAD? - Correct Answer: MI
* 57 year old male patient presented with RLQ abdominal pain, which began 5 days ago. He
states that he was mowing the lawn when the pain began. Patient reports hetook OTC
Tylenol yesterday without relief. There has been no nausea, vomiting or diarrhea. - Correct
Answer: Yes, the HPI meets Level 4 billing criteria.
What are the possible consequences of a HIPAA violation? (select all that apply) - Correct
Answer: - Termination
-Monetary fines to you and the hospital
- Prison time
-Lawsuit against you and the hospital
-Violator is blacklisted from medical programs like Medical, PA, or NP school
- Scribe program cancellation
What does HIPAA stand for? Expand the abbreviation. Remember, do not include any spaces
before or after the term/phrase. e.g. Correct way "Good luck" vs incorrect " goodluck ". -
Correct Answer: Health Insurance Portability and Accountability Act
What chronic condition would require diagnosis through fasting blood glucose level orHbA1c?
HINT: two words. Expand abbreviations. - Correct Answer: diabetes mellitus
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