ScribeAmerica OP Final 2024/2025 Exam
Questions with 100% Correct Answers |
Latest Update
* What medical term describes the surgical removal of the gallbladder? -
🧠ANSWER ✔✔cholecystectomy
What does "PHI" stand for? Expand the abbreviation. - 🧠ANSWER
✔✔Protected Health Information
T/F. Sharing information about a case with family is allowed, as long as you
are scribing with the physician assigned to the case. - 🧠ANSWER ✔✔False
** A patient underwent brain surgery to treat bleeding in the brain from a
stroke. What PSHx would you record into the chart? - 🧠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 this patient considered a new patient or an established
patient? - 🧠ANSWER ✔✔Established
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY 1
STATEMENT. ALL RIGHTS RESERVED
,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? - 🧠ANSWER ✔✔Yes
What medical term would best describe "the likely course or outcome of a
disease"? - 🧠ANSWER ✔✔Prognosis
Which section of the chart should you document when you hear the
following cue "what medical problems do you have"? - 🧠ANSWER ✔✔PHx
You are writing an HPI for a patient who 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? - 🧠ANSWER ✔✔Multiple complaints structure
Which of the following is NOT a purpose of HITECH? - 🧠ANSWER ✔✔- To
require patient accountability in paying for their health care visit
- To require government accountability on health insurance plans available
in the market place
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY 2
STATEMENT. ALL RIGHTS RESERVED
, -To require equal access, opportunity, and affordability for health insurance
plans by screening patient health information
What medical term would describe a patient with a history of infection or
inflammation of the liver? - 🧠ANSWER ✔✔Hepatitis
For correct billing and reimbursement to go through, a counseling note
requires documentation of the following: - 🧠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? - 🧠ANSWER ✔✔Chronologic structure
Which of the following would be valid complications for CAD? - 🧠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. - 🧠ANSWER ✔✔Yes, the HPI
meets Level 4 billing criteria.
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY 3
STATEMENT. ALL RIGHTS RESERVED
Questions with 100% Correct Answers |
Latest Update
* What medical term describes the surgical removal of the gallbladder? -
🧠ANSWER ✔✔cholecystectomy
What does "PHI" stand for? Expand the abbreviation. - 🧠ANSWER
✔✔Protected Health Information
T/F. Sharing information about a case with family is allowed, as long as you
are scribing with the physician assigned to the case. - 🧠ANSWER ✔✔False
** A patient underwent brain surgery to treat bleeding in the brain from a
stroke. What PSHx would you record into the chart? - 🧠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 this patient considered a new patient or an established
patient? - 🧠ANSWER ✔✔Established
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY 1
STATEMENT. ALL RIGHTS RESERVED
,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? - 🧠ANSWER ✔✔Yes
What medical term would best describe "the likely course or outcome of a
disease"? - 🧠ANSWER ✔✔Prognosis
Which section of the chart should you document when you hear the
following cue "what medical problems do you have"? - 🧠ANSWER ✔✔PHx
You are writing an HPI for a patient who 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? - 🧠ANSWER ✔✔Multiple complaints structure
Which of the following is NOT a purpose of HITECH? - 🧠ANSWER ✔✔- To
require patient accountability in paying for their health care visit
- To require government accountability on health insurance plans available
in the market place
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY 2
STATEMENT. ALL RIGHTS RESERVED
, -To require equal access, opportunity, and affordability for health insurance
plans by screening patient health information
What medical term would describe a patient with a history of infection or
inflammation of the liver? - 🧠ANSWER ✔✔Hepatitis
For correct billing and reimbursement to go through, a counseling note
requires documentation of the following: - 🧠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? - 🧠ANSWER ✔✔Chronologic structure
Which of the following would be valid complications for CAD? - 🧠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. - 🧠ANSWER ✔✔Yes, the HPI
meets Level 4 billing criteria.
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY 3
STATEMENT. ALL RIGHTS RESERVED
