Exam (elaborations)
ScribeAmerica OP Final (DETAILED ANSWERS) 2024 - DISTINCTION GUARANTEED
- Course
- Institution
ScribeAmerica OP Final (DETAILED ANSWERS) 2024 - DISTINCTION GUARANTEED
[Show more]
Seller
Follow
Content preview
10/18/24, 11:31 AMScribeAmerica OP Final (DETAILED ANSWERS) 2024 -
DISTINCTION GUARANTEED
Terms in this set (103)
* What medical term describes the surgical cholecystectomy
removal of the gallbladder?
What does "PHI" stand for? Expand the Protected Health Information
abbreviation.
T/F. Sharing information about a case with False
family is allowed, as long as you are
scribing with the physician assigned to the
case.
** A patient underwent brain surgery to craniotomy
treat bleeding in the brain from a stroke.
What PSHx would you record into the
chart?
A patient's PCP is on vacation. The patient is Established
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 this
patient considered a new patient or an
established patient?
A patient is diagnosed with back strain Yes
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 10 minutes of a 15
minute Established Patient visit. Would your
physician be able to bill counseling time on
this patient?
ScribeAmerica OP Final
1/10
, 10/18/24, 11:31 AM
What medical term would best describe Prognosis
"the likely course or outcome of a disease"?
Which section of the chart should you PHx
document when you hear the following cue
"what medical problems do you have"?
You are writing an HPI for a patient who Multiple complaints structure
presented for hyperlipidemia management.
In the 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?
- To require patient accountability in paying for their health care visit
- To require government accountability on health insurance plans available in the
Which of the following is NOT a purpose of
market place
HITECH?
-To require equal access, opportunity, and affordability for health insurance plans by
screening patient health information
What medical term would describe a Hepatitis
patient with a history of infection or
inflammation of the liver?
For correct billing and reimbursement to - Total time with the patient
go through, a counseling note requires - Percentage of time spent counseling
documentation of the following:
You are writing an HPI for a very complex Chronologic structure
patient who has had multiple recent
hospital admissions for lung cancer. Which
HPI structure would be the best to use in
this scenario?
Which of the following would be valid MI
complications for CAD?
* 57 year old male patient presented with Yes, the HPI meets Level 4 billing criteria.
RLQ abdominal pain, which began 5 days
ago. He states that he was mowing the
lawn when the pain began. Patient reports
he took OTC Tylenol yesterday without
relief. There has been no nausea, vomiting
or diarrhea.
- Termination
-Monetary fines to you and the hospital
What are the possible consequences of a - Prison time
HIPAA violation? (select all that apply) -Lawsuit against you and the hospital
-Violator is blacklisted from medical programs like Medical, PA, or NP school
- Scribe program cancellation
ScribeAmerica OP Final
https://quizlet.com/546939711/scribeamerica-op-final-flash-cards/ 2/10
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 Denyss. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
71947 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now