ScribeAmerica OP Final Exam

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 10 minutes 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 describe a patient with a history of infection or inflammation of the liver? - Correct answer-Hepatitis For correct billing and reimbursement to go through, a counseling note requires documentation 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 he took 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) - HIPAA is a set of laws designed to _______. (Select the best option.) - Correct answermaintain patient privacy and confidentiality What condition correctly describes "blood clot in the lungs"? (Use the abbreviation form of the condition) - Correct answer-PE * MACRA - Correct answer-government healthcare initiative that focuses on quality of care to improve patient outcomes. * MIPS - Correct answer-system of payment in which government funding is released if specific quality measures are tracked Quality Measures - Correct answer-site specific health criteria that are tracked Correct answer-- Termination -Monetary fines to you and the hospital - Prison time -Lawsuit against you and the ho spital -Violator is blacklisted from me dical 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 " good luck ". - Correct answer-Health Insurance Portability and Accountability Act