SCORED A+
As .a .coder, .are .you .allowed .to .link .diagnoses .to .medications .by .yourself? .-
.CORRECT .ANSWER-No.
Before .you .start .coding .from .a .chart, .what .must .you .always .check? .-
.CORRECT .ANSWER-The .year.
Do .coders .typically .code .from .the .chief .complaint .section? .- .CORRECT
.ANSWER-No. .This .is .typically .documentation .from .the .patient's .point .of .view
.about .the .medical .problem.
Do .coders .typically .code .from .the .History .of .Present .Illness .(HPI) .section? .-
.CORRECT .ANSWER-No. .This .section .often .uses ."history .of". .It .is .often .just .the
.patient's .summary .of .the .reason .for .the .visit.
Do .coders .typically .code .from .the .Past .Medical .Family .Social .History .(PFSH)
.section? .- .CORRECT .ANSWER-No. .In .this .section, .it .it .often .unclear .if .a
.condition .is .attributed .to .the .patient .or .to .the .patient's .family.
Do .coders .typically .code .from .the .Review .of .Systems .(ROS) .section? .-
.CORRECT .ANSWER-No. .This .section .is .often .completed .by .the .patient .in .the
.waiting .room.
If .a .diagnosis .is .noted .on .a .January .visit .and .a .February .visit, .but .not .on .a
.July .visit, .can .the .diagnosis .still .be .coded .on .the .July .visit? .- .CORRECT
.ANSWER-No.
In .order .to .code .a .chronic .condition, .what .must .the .provider .document? .-
.CORRECT .ANSWER-MEAT
True .or .false: ."History .of" .diagnoses .are .assumed .to .still .be .present. .-
.CORRECT .ANSWER-False. .You .cannot .code .a ."history .of" .diagnosis .as .current
.unless .it .is .stated .as .still .present.
True .or .False: .A .pathology .report .counts .as .a .face-to-face .encounter. .-
.CORRECT .ANSWER-True.
True .or .False: .Every .date .of .service .stands .alone. .- .CORRECT .ANSWER-True.