MEDICAL BILLING & CODING - CERTIFICATION TESTS SOLVED 100%

What symptoms are included in ROS (Review of Systems) for Constitutional Classification - Answer - Usual weight. - recent weight changes, - fever, - weakness, - fatigue What symptoms are included in ROS (Review of Systems) for Eyes (Ophthalmologic)Classification - Answer - Glasses or contact lenses - last eye examination - visual glaucoma - cataracts - eyestrain - pain - diplopia, - redness - lacrimation - inflammation - blurring What symptoms are included in ROS (Review of Systems) for Ear, Nose,Mouth, Throat (Otolaryngologic) Classification - Answer - Ears: hearing discharge, tinnitus, dizziness, pain - Nose: head colds, epistaxsis (nosebleed),discharges, obstruction, postnasal drip, sinus pain - Mouth and throat: condition of teeth and gums, last dental examination, soreness, redness, hoarseness, difficulty in swallowing What symptoms are included in ROS (review of Systems) for Cardiovascular Classification - Answer - Chest pain, rheumatic fever, tachycardia, palpitation, high blood pressure, edema, vertigo, faintness, varicose veins, thrombophlebitis What symptoms are included in ROS for Respiratory Classification - Answer - Chest pain, wheezing, cough, dyspnea, sputum, (color and quantity), hemopytsis, asthma, bronchitis, emphysema, pneumonia, tuberculosis, pleuirisy, last chest radiogeraph What symptoms are included in ROS for Gastrointestinal Classification - Answer - Appetite, thirst, nausea, vomiting, hematemesis, rectal bleeding, change in bowed habits, diarrhea, constipation, indigestion, food intolerance, flatus, hemorrhiods, jaundice. Genitourinary - Answer ... What symptoms are included in ROS for Urinary Classification - Answer - frequent or painful urination, nocturia, pyuria, hematuria, incontinence, urinary infection, What symptoms are included in ROS for Genitoreproductive Classification - Answer Male: - veneral disease, sores, discharge from penis, hernias, testicular pain or masses Female: - age a menstruation (frequency, type, duration, dysmenorreha, monorrhagia, symptoms of menopause), contraception, pregnancies, deliveries, abortions, last Papanicolaou smear What symptoms are included in ROS for Musculoskeletal Classification - Answer Joint pain or stiffness, arthritis, gout, backache, muscle pain, cramps, swelling, redness, limitation in motor activity What symptoms are included in ROS for Integumentary Classification (skin or breast) - Answer Rashes, eruptions, dryness, cyanosis, jaundice, changes in skin, hair, or nails. What symptoms are included in ROS for Neurologic (Neurological) Classification - Answer Faintness, blackouts, seizures, paralysis, tingling, tremors, memory loss What symptoms are included in ROS for Psychiatric Classification - Answer Personality type, nervousness, mood, insomnia,. headache, nightmares, depression What symptoms are included in ROS for Endocrine Classification - Answer Thyroid trouble, heat or cold intolerance, excessive, sweating, thirst, hunger, or urination What sympotoms are included in ROS for Hematologic.Lymphatic Classification - Answer Anemia, easy bruising or bleeding, past transfusions What symptoms are included in ROS for Allergic/Immunologic Classification - Answer Sneezing, itching eyes, rhinorrhea, nasal obstruction, or recurrent infections, Environmental allergies, such as dust, mold, or latex What does PFSH stand for - Answer Past, Family, or social History What items are included in the category of Past HIstory - Answer - Prior major illinesses and injuries - Prior operations - Poor hospitalizations - Current medications - Allergies (e.g., drug, food) - Age-appropriate immunization status - Age-appropriate feeding/dietary status What items are included in the category of Family History - Answer Significant information about: - the health status or cause of death of parents, siblings, and children - Specific diseases related to problems identified in the CC, HPI, or ROS What items are included in the category of Social History - Answer An age-appropriate review of past and current activities that include significant information about: - Marital status and/or living arrangements - Current employment - Occupational history -Use of drugs, alcohol, and tobacco - Level of education - Sexual history - Other relevant social history How many elements of a history are always included in varying degrees in all patient encounters - Answer Three (3); - HPI - ROS - PFSH How is the degree, level of HPI, ROS, and PFSH determined - Answer They are determined by the CC (Chief complaint) or presenting problem of the patient during the current encounter that is being documented.