Citymd medical scribe practical questions with
verified answers
2nd half of the chart Ans✓✓✓ -he1. change flags
--remove red flag and add the provider flag
2. Update HPI
-- click on the green text from hpi chief complaint
-----add whatever doctor asks during intake
-----make it flow w/ what you already have
3. physical exam (observation)
-there is a template, 8 body systems
---click on the blue text "examination"
3 ways to document this
1. if normal click green arrow if will give normal results
2. click on observation box, window opens with free click box
3. free text after clicking on observation box
Bold abnormal things:
-hepatosplenomegaly (no spleen or liver enlargement)
4. service provided (in-house, that we need answer to for assessment)
5. assessment (Dx)
---click on the assessment link
-search in box on left hand side ... should go to selected assessments
6. treatment (Rx)
, ---click on blue treatment link
---click add top left hand corner (keep type on medispanRx)
-type name into find (if you need to modify, click on the notebook icon) ... if
interaction window pops up, show provider after theyre done (only if it is not
blue)
7. service ordered (things sent patient out for labs, referrals,. imaging)
8. preventive medicine
--4 points needed
----1. presets/macros
----2. provider specific (goes into notes)
----3. visit specific (goes into notes)
----4. Dx specific (click browse type .XXX)
9. order linking
-this is for insurance
---click order tab
---click order details
-----link meds to Dx ...can also add Dx in this window
10. Visit code (in progress notes)
----click on visit code text (in billing section)
--the x in the "p" is the primary Dx
--procedure code section
0-->new 1--->establishment
-----add e&m code 2-- simple 5 ---complex
verified answers
2nd half of the chart Ans✓✓✓ -he1. change flags
--remove red flag and add the provider flag
2. Update HPI
-- click on the green text from hpi chief complaint
-----add whatever doctor asks during intake
-----make it flow w/ what you already have
3. physical exam (observation)
-there is a template, 8 body systems
---click on the blue text "examination"
3 ways to document this
1. if normal click green arrow if will give normal results
2. click on observation box, window opens with free click box
3. free text after clicking on observation box
Bold abnormal things:
-hepatosplenomegaly (no spleen or liver enlargement)
4. service provided (in-house, that we need answer to for assessment)
5. assessment (Dx)
---click on the assessment link
-search in box on left hand side ... should go to selected assessments
6. treatment (Rx)
, ---click on blue treatment link
---click add top left hand corner (keep type on medispanRx)
-type name into find (if you need to modify, click on the notebook icon) ... if
interaction window pops up, show provider after theyre done (only if it is not
blue)
7. service ordered (things sent patient out for labs, referrals,. imaging)
8. preventive medicine
--4 points needed
----1. presets/macros
----2. provider specific (goes into notes)
----3. visit specific (goes into notes)
----4. Dx specific (click browse type .XXX)
9. order linking
-this is for insurance
---click order tab
---click order details
-----link meds to Dx ...can also add Dx in this window
10. Visit code (in progress notes)
----click on visit code text (in billing section)
--the x in the "p" is the primary Dx
--procedure code section
0-->new 1--->establishment
-----add e&m code 2-- simple 5 ---complex
