NR511 Midterm Questions with
Answers 2025
Defineadiagnosticareasoninga-acorrectaanswers-
reflectiveathinkingabecauseatheaprocessainvolvesaquestioningaone'sathinkingatoadetermineaif
aallapossibleaavenuesahaveabeenaexploredaandaif atheaconclusionsathataareabeingadrawnaarea
basedaonaevidence.
Seenaasaaakindaofacriticalathinking.
Whataisasubjectiveadata?A-acorrectaanswers-
anythingatheapatientatellsayouaoracomplainsaofaregardingatheirasymptoms
Chiefacomplaint
HPI
ROS
Whataisaobjectiveadata?A-acorrectaanswers-
anythingayouacanasee,Atouch,Afeel,Ahear,aorasmellaasapartaofayouraexam
Includesalabadata,adiagnosticatestaresults,Aetc.
Identifyacomponentsaofahpia-acorrectaanswers-
specificallyarelatedatoatheachiefacomplaintaonly
Detailedabreakdownaofacc
OLDCARTS
Describeatheadifferencesabetweenamedicalabillingaandamedicalacoding.A-acorrectaanswers-
medicalabilling:aprocessaofasubmittingaandafollowingaupaonaclaimsamadeatoaaapayerainaorder
atoareceiveapaymentaforamedicalaservicesarenderedabyaaahealthcareaprovider
Medicalacoding:atheauseaofacodesatoacommunicateawithapayersaaboutawhichaproceduresaw
ereaperformedaandawhy.
Compareaandacontrastatheatwoacodingaclassificationasystemsathataareacurrentlyausedainathe
ausahealthcareasystem.A-acorrectaanswers-
ICD:ainternationalaclassificationaofadiseaseacodesaareausedatoaprovideapayerainfoaonaneces
sityaofavisitaoraprocedureaperformed.ashorthandaforapt'sadx.A
CPT:acommonaproceduralaterminologyacodesaofferatheaofficialaproceduralacodingarulesaand
aguidelinesarequiredawhenareportingamedicalaservicesaandaproceduresaperformedabyaphysi
cianaandanon-physicianaproviders.amustahaveacorrespondingaicd.
Howadoaspecificity,Asensitivity,aandapredictiveavalueacontributeatoatheausefulnessaofadiagno
sticadata?A-acorrectaanswers-
Specificity:aabilityaofaaatestatoacorrectlyadetectaaaspecificacondition.aifaaaptahasaaaconditionabu
,tatestaisanegative,aitaisaaafalseanegative.aifaptadoesanotahaveaconditionabutatestaisapositive,aitais
afalseapositive.
Sensitivity:atestathatahasafewafalseanegatives.aabilityaofaaatestatoacorrectlyaidentifyaaaspecifica
conditionawhenaitaisapresent.atheahigheratheasensitivity,athealesserathealikelihoodaofaaafalsean
egative.
Predictiveavalue:athealikelihoodathatatheaptaactuallyahasatheaconditionaandais,ainapart,adepen
dentauponatheaprevalenceaofatheaconditionainatheapopulation.aifaaaconditionaisahighlyalikely,at
heapositivearesultawouldabeamoreaaccurate.
Diagnosticatestsacanabeausedatoaconfirmaoraruleaoutahypotheses.
Diagnosticatestsamayabeausedatoascreenaforaconditions.
Diagnosticatestsamayabeausedatoamonitoratheaprogressainamanagingaaachronicacondition.
Discussatheaelementsathataneedatoabeaconsideredawhenadevelopingaaaplan.A-
acorrectaanswers-Pt'sApreferencesAandAactions
Researchaevidence
Clinicalastate/circumstances
Clinicalaexpertise
Describeatheacomponentsaofamedicaladecisionamakingainae&macoding.A-acorrectaanswers-
Risk,Adata,Adiagnosis
Theamoreatimeaandaconsiderationainvolvedainadealingawithaaapt,atheahigheratheareimbursem
entafromatheapayer.
Documentationamustareflectamdm
Correctlyaorderatheae&maofficeavisitacodesabasedaonacomplexityafromaleastatoamostacomple
x.A-acorrectaanswers-newapt:
1.aminimal/rnavisit:A99201
2.aproblemafocused:A99202
3.aexpandedaproblemafocused:A99203
4.adetailed:A99204
5.acomprehensive:A99205
Establishedapt:
1.aminimal/rnavisit:A99211
2.aproblemafocused:A99212
3.aexpandedaproblemafocused:A99213
4.adetailed:A99214
5.acomprehensive:A99215
Thea5akeyacomponentsaofaaacomprehensiveatreatmentaplanaare:A-acorrectaanswers-
1.adiagnostics
2.amedication
3.aeducation
, 4.areferral/consultation
5.afollow-upaplanning
Defineatheacomponentsaofaaasoapanote.A-acorrectaanswers-
S:asubjectivea(whatatheaptatellsayou)
CC
HPI
PMH
Famahx
Socialahx
ROS
O:aobjectivea(whatayouacanasee,Ahear,afeelaonaexam)
Physicalafindings
Vitalasigns
Generalasurvey
HEENT
Etc...
A:Aassessment
Globalaassessmentaofaptaincludingadifferentialsainaorderafromamostatoaleastalikely
Combinationaofasubjectiveaandaobjectiveainfo
Listaofadxaaddressedaandabilledaforaatatheavisit
P:Aplan
Whatayouawillarx
Whenatoacomeaback
Diagnosticatests
Ptaeducation
Discussaminimumaofathreeapurposesaofatheawrittenahistoryaandaphysicalainarelationatoatheaim
portanceaofadocumentation.A-acorrectaanswers-
importantareferenceadocumentathatagivesaconciseainfoaaboutatheapt'sahxaandaexamafindings
Outlinesaaaplanaforaaddressingaissuesathatapromptedatheavisit.ainfoashouldabeapresentedaina
aalogicalafashionathataprominentlyafeaturesaalladataarelevantatoatheapt'sacondition.
Isaaameansaofacommunicatingainfoatoaallaprovidersainvolvedainapt'sacare
Isaaamedical-legaladocument
Isaessentialainaorderatoaaccuratelyacodeaandabillaforaservices
Whyadoesaeveryaprocedureacodeaneedaaacorrespondingadiagnosisacode?A-
acorrectaanswers-diagnosisacodeaexplainsatheanecessityaofatheaprocedureacode.
Insuranceawon'tapayaifatheyadon'tacorrespond.
Whataareatheathreeacomponentsarequiredainadeterminingaanaoutpatient,aofficeavisitae&maco
de?A-acorrectaanswers-planaofaservice
Answers 2025
Defineadiagnosticareasoninga-acorrectaanswers-
reflectiveathinkingabecauseatheaprocessainvolvesaquestioningaone'sathinkingatoadetermineaif
aallapossibleaavenuesahaveabeenaexploredaandaif atheaconclusionsathataareabeingadrawnaarea
basedaonaevidence.
Seenaasaaakindaofacriticalathinking.
Whataisasubjectiveadata?A-acorrectaanswers-
anythingatheapatientatellsayouaoracomplainsaofaregardingatheirasymptoms
Chiefacomplaint
HPI
ROS
Whataisaobjectiveadata?A-acorrectaanswers-
anythingayouacanasee,Atouch,Afeel,Ahear,aorasmellaasapartaofayouraexam
Includesalabadata,adiagnosticatestaresults,Aetc.
Identifyacomponentsaofahpia-acorrectaanswers-
specificallyarelatedatoatheachiefacomplaintaonly
Detailedabreakdownaofacc
OLDCARTS
Describeatheadifferencesabetweenamedicalabillingaandamedicalacoding.A-acorrectaanswers-
medicalabilling:aprocessaofasubmittingaandafollowingaupaonaclaimsamadeatoaaapayerainaorder
atoareceiveapaymentaforamedicalaservicesarenderedabyaaahealthcareaprovider
Medicalacoding:atheauseaofacodesatoacommunicateawithapayersaaboutawhichaproceduresaw
ereaperformedaandawhy.
Compareaandacontrastatheatwoacodingaclassificationasystemsathataareacurrentlyausedainathe
ausahealthcareasystem.A-acorrectaanswers-
ICD:ainternationalaclassificationaofadiseaseacodesaareausedatoaprovideapayerainfoaonaneces
sityaofavisitaoraprocedureaperformed.ashorthandaforapt'sadx.A
CPT:acommonaproceduralaterminologyacodesaofferatheaofficialaproceduralacodingarulesaand
aguidelinesarequiredawhenareportingamedicalaservicesaandaproceduresaperformedabyaphysi
cianaandanon-physicianaproviders.amustahaveacorrespondingaicd.
Howadoaspecificity,Asensitivity,aandapredictiveavalueacontributeatoatheausefulnessaofadiagno
sticadata?A-acorrectaanswers-
Specificity:aabilityaofaaatestatoacorrectlyadetectaaaspecificacondition.aifaaaptahasaaaconditionabu
,tatestaisanegative,aitaisaaafalseanegative.aifaptadoesanotahaveaconditionabutatestaisapositive,aitais
afalseapositive.
Sensitivity:atestathatahasafewafalseanegatives.aabilityaofaaatestatoacorrectlyaidentifyaaaspecifica
conditionawhenaitaisapresent.atheahigheratheasensitivity,athealesserathealikelihoodaofaaafalsean
egative.
Predictiveavalue:athealikelihoodathatatheaptaactuallyahasatheaconditionaandais,ainapart,adepen
dentauponatheaprevalenceaofatheaconditionainatheapopulation.aifaaaconditionaisahighlyalikely,at
heapositivearesultawouldabeamoreaaccurate.
Diagnosticatestsacanabeausedatoaconfirmaoraruleaoutahypotheses.
Diagnosticatestsamayabeausedatoascreenaforaconditions.
Diagnosticatestsamayabeausedatoamonitoratheaprogressainamanagingaaachronicacondition.
Discussatheaelementsathataneedatoabeaconsideredawhenadevelopingaaaplan.A-
acorrectaanswers-Pt'sApreferencesAandAactions
Researchaevidence
Clinicalastate/circumstances
Clinicalaexpertise
Describeatheacomponentsaofamedicaladecisionamakingainae&macoding.A-acorrectaanswers-
Risk,Adata,Adiagnosis
Theamoreatimeaandaconsiderationainvolvedainadealingawithaaapt,atheahigheratheareimbursem
entafromatheapayer.
Documentationamustareflectamdm
Correctlyaorderatheae&maofficeavisitacodesabasedaonacomplexityafromaleastatoamostacomple
x.A-acorrectaanswers-newapt:
1.aminimal/rnavisit:A99201
2.aproblemafocused:A99202
3.aexpandedaproblemafocused:A99203
4.adetailed:A99204
5.acomprehensive:A99205
Establishedapt:
1.aminimal/rnavisit:A99211
2.aproblemafocused:A99212
3.aexpandedaproblemafocused:A99213
4.adetailed:A99214
5.acomprehensive:A99215
Thea5akeyacomponentsaofaaacomprehensiveatreatmentaplanaare:A-acorrectaanswers-
1.adiagnostics
2.amedication
3.aeducation
, 4.areferral/consultation
5.afollow-upaplanning
Defineatheacomponentsaofaaasoapanote.A-acorrectaanswers-
S:asubjectivea(whatatheaptatellsayou)
CC
HPI
PMH
Famahx
Socialahx
ROS
O:aobjectivea(whatayouacanasee,Ahear,afeelaonaexam)
Physicalafindings
Vitalasigns
Generalasurvey
HEENT
Etc...
A:Aassessment
Globalaassessmentaofaptaincludingadifferentialsainaorderafromamostatoaleastalikely
Combinationaofasubjectiveaandaobjectiveainfo
Listaofadxaaddressedaandabilledaforaatatheavisit
P:Aplan
Whatayouawillarx
Whenatoacomeaback
Diagnosticatests
Ptaeducation
Discussaminimumaofathreeapurposesaofatheawrittenahistoryaandaphysicalainarelationatoatheaim
portanceaofadocumentation.A-acorrectaanswers-
importantareferenceadocumentathatagivesaconciseainfoaaboutatheapt'sahxaandaexamafindings
Outlinesaaaplanaforaaddressingaissuesathatapromptedatheavisit.ainfoashouldabeapresentedaina
aalogicalafashionathataprominentlyafeaturesaalladataarelevantatoatheapt'sacondition.
Isaaameansaofacommunicatingainfoatoaallaprovidersainvolvedainapt'sacare
Isaaamedical-legaladocument
Isaessentialainaorderatoaaccuratelyacodeaandabillaforaservices
Whyadoesaeveryaprocedureacodeaneedaaacorrespondingadiagnosisacode?A-
acorrectaanswers-diagnosisacodeaexplainsatheanecessityaofatheaprocedureacode.
Insuranceawon'tapayaifatheyadon'tacorrespond.
Whataareatheathreeacomponentsarequiredainadeterminingaanaoutpatient,aofficeavisitae&maco
de?A-acorrectaanswers-planaofaservice
