Healthcare Reimbursement Final PASSED
Exam Questions and CORRECT Answers
History & Physical (H&P) - Correct Answer- 1. chief complaint
2. examination
3. diagnosis
4. treatment plan
Types of histories in a medical chart - Correct Answer- 1. past medical history
2. social history
3. family history
4. history of present illness
progress report - Correct Answer- document a patients progress and response to a treatment
plan
* goals and progress towards goals
* pt's current condition and prognosis
* type of treatment still needed and for how long
medical record - Correct Answer- * continuity of care
* communication among providers
* education
* results of test performed
* facts, findings, and observations with and about the patient
* can also be used for research and education
SOAP notes need? - Correct Answer- dated, signed, and included the time
encounter - Correct Answer- face-to-face meeting between a provider and a patient
discharge summary - Correct Answer- * current condition of the pt
, * final diagnosis
* reason for discharge
informed consent - Correct Answer- process by which a patient authorizes medical treatment
after a discussion with the physician
* includes risks, benefits, plan of treatment, and any alternatives
advantages of EHRs - Correct Answer- * clinical decision support
* electronic communication
* patient support
* immediate access to health information
* error reduction
about how many Americans are currently part of the Medicare and Medicaid program? -
Correct Answer- 90 million
new patient - Correct Answer- patient who has not seen a provider within 3 years
established patient - Correct Answer- patient who has seen a provider within 3 years
patient information form - Correct Answer- form that includes the patients personal,
employment, and insurance company data
* preregistration and scheduling information (begin collecting pt data here)
* medical history
* patient guarantor and insurance data
* assignments of benefits
* acknowledgement of receipt of notice of privacy practices
indirect provider - Correct Answer- provider such as facility who does not have a face-to-face
interaction with the patient
direct provider - Correct Answer- a provider who directly treats the patient
Exam Questions and CORRECT Answers
History & Physical (H&P) - Correct Answer- 1. chief complaint
2. examination
3. diagnosis
4. treatment plan
Types of histories in a medical chart - Correct Answer- 1. past medical history
2. social history
3. family history
4. history of present illness
progress report - Correct Answer- document a patients progress and response to a treatment
plan
* goals and progress towards goals
* pt's current condition and prognosis
* type of treatment still needed and for how long
medical record - Correct Answer- * continuity of care
* communication among providers
* education
* results of test performed
* facts, findings, and observations with and about the patient
* can also be used for research and education
SOAP notes need? - Correct Answer- dated, signed, and included the time
encounter - Correct Answer- face-to-face meeting between a provider and a patient
discharge summary - Correct Answer- * current condition of the pt
, * final diagnosis
* reason for discharge
informed consent - Correct Answer- process by which a patient authorizes medical treatment
after a discussion with the physician
* includes risks, benefits, plan of treatment, and any alternatives
advantages of EHRs - Correct Answer- * clinical decision support
* electronic communication
* patient support
* immediate access to health information
* error reduction
about how many Americans are currently part of the Medicare and Medicaid program? -
Correct Answer- 90 million
new patient - Correct Answer- patient who has not seen a provider within 3 years
established patient - Correct Answer- patient who has seen a provider within 3 years
patient information form - Correct Answer- form that includes the patients personal,
employment, and insurance company data
* preregistration and scheduling information (begin collecting pt data here)
* medical history
* patient guarantor and insurance data
* assignments of benefits
* acknowledgement of receipt of notice of privacy practices
indirect provider - Correct Answer- provider such as facility who does not have a face-to-face
interaction with the patient
direct provider - Correct Answer- a provider who directly treats the patient
