NR 511 MIDTERM STUDY GUIDE 1 – WEEKLY TOPICS WITH ANSWERS

NR 511 MIDTERM STUDY GUIDE 1 – WEEKLY TOPICS WITH ANSWERS Week 1 1. Define diagnostic reasoning 2. Discuss and identify subjective & objective data 3. Discuss and identify the components of the HPI 4. Describe the differences between medical billing and medical coding 5. Compare and contrast the 2 coding classification systems that are currently used in the US healthcare system 6. Discuss how specificity, sensitivity & predictive value contribute to the usefulness of the diagnostic data 7. Discuss the elements that need to be considered when developing a plan 8. Describe the components of Medical Decision Making in E&M coding 9. Correctly order the E&M office visit codes based on complexity from least to most complex 10. Discuss a minimum of three purposes of the written history and physical in relation to the importance of documentation 11. Accurately document why every procedure code must have a corresponding diagnosis code 12. Correctly identify a patient as new or established given the historical information 13. Identify the 3 components required in determining an outpatient, office visit E&M code 14. Describe the components of Medical Decision Making in E&M coding 15. Correctly order the E&M office visit codes based on complexity from least to most complex 16. Explain what a “well rounded” clinical experience means 17. State the maximum number of hours that time can be spent “rounding” in a facility 18. State 9 things that must be documented when inputting data into clinical encounter 19. Identify and explain each part of the acronym SNAPPS Week 2 1. Identify the most common type of pathogen responsible for acute gastroenteritis Gastroenteritis, also known as enteritis or gastroenterocolitis, is defined as an inflammation of the stomach and intestine that manifests as anorexia, nausea, vomiting, and diarrhea. Acute gastroenteritis results most often from an infectious agent. The most common mode of transmission for acute infectious gastroenteritis is the fecal–oral route from contaminated food or water. Person-to-person transfer of the disease is more common within the hospital setting and within day-care centers where there are larger groups of people capable of transmitting the disease. Bacterial pathogens account for 30% to 80% of acute gastroenteritis