Exam (elaborations)
ScribeAmerica OP Final exam 2022/2025 with 100% correct answers
- Course
- Institution
ScribeAmerica OP Final exam 2022/2025 with 100% correct answers
[Show more]
Content preview
ScribeAmerica OP Final exam 2022/2025 with100% correct answers
New Patient - <<ANSWER>>No previous records, longer visit, detailed chart
established patient - <<ANSWER>>Previous records available from last 3 years,
shorter visit, concise chart
Diagnostic visit - <<ANSWER>>New problem, chief complaint: new symptom, goal is to
determine the cause of the problem and appropriate treatment
health management - <<ANSWER>>check up, CC: routine physical or management of
chronic problems, goal is preventative care and/or assessing progress of ongoing
medical problems
What does the plan include? - <<ANSWER>>Recommended Txs for each diagnosis
Prescriptions ordered today
Studies or tests ordered today
Follow-up with other healthcare professionals
Follow-up here: when should pt return?
How is the plan written? - <<ANSWER>>1) Each item should appear on a separate line
2) Bulleted or numbered list
3) At least one bullet to address each diagnosis
4) Last bullet should always be timeline for follow-up in the office
MACRA - <<ANSWER>>a payment model for physicians and is run by CMS
CMS - <<ANSWER>>Centers for Medicare and Medicaid Services
largest payer for healthcare in the U.S.
sets the stage for how all doctors are paid for their services
, Level 4 HPI elements - <<ANSWER>>new: 4
estab: 2
Level 4 ROS elements - <<ANSWER>>new: 10
estab: 2
Level 4 PHx - <<ANSWER>>new: 3
estab: 1
Level 4 PE systems - <<ANSWER>>new: 9
estab: 2
Level 4 Assessment - <<ANSWER>>new: 1
estab: 2
E&M level codes new patient - <<ANSWER>>9920(#oflevel)
E&M level codes established patient - <<ANSWER>>9921(#oflevel)
Superbill - <<ANSWER>>A bill, submitted to the insurance company, that reflects the
services provided to the patient
MIPS - <<ANSWER>>Merit-based Incentive Payment System
Doctors who prove high quality and better outcomes can receive large bonus payments
from CMS. Those with poor quality are penalized financially.
Quality Measures - <<ANSWER>>physicians receive their payment adjustments by
reporting on a number of __________ that must be recorded in a specific location in the
EMR.
Scribes CAN - <<ANSWER>>1. Document the history, physical exam, results,
procedures, and physician consults
2. Access and document laboratory results and radiology findings
3. Access and display X-Rays for the physician to review
4. Locate and obtain PMHx, previous charts, past results, and recent studies
5. Record physician interpretations of X-Rays and ECG's
Scribes CANNOT - <<ANSWER>>1. touch patients
2. partake in any activity that may affect patient health
3. handle bodily fluids or specimens
4. sign or authenticate any chart or record
5. give verbal orders or submit electronic orders
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Bestnursesteve. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $17.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
74735 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now