QUESTIONS WITH ANSWERS 100%
CORRECT GRADED A+
⩥ CHEDDAR. Answer: Chief complaint, Hx, Exam, Details of
problem/complaint, Drugs & dosages, Assessment, Return visit
⩥ Subjective. Answer: Pt complaint
⩥ Objective. Answer: Provider observation
⩥ Assessment. Answer: Medical Dx
⩥ Plan. Answer: Treatment
⩥ You are performing an audit of e/m services for a FP office. In the
encounter you read the physician ordered and reviewed a differential
WBC. What elements would you expect to see in the medical records?.
Answer: Patient ID, assignment of benefits, pt's medical hx,
immunizations, physical examination, lab report, clinical impression &
physician orders. When labs are ordered, there must be a copy of the
order and the lab report that the physician has reviewed.
, ⩥ What is the minimum requirement for the signature of the author of an
entry in the medical records?. Answer: The first initial, last name and
credentials
⩥ Based on JCAHO accreditation guidance for personal data, what two
elements must be evident in the medical records?. Answer: Personal
biographical data and consent for Treatment or authorization for
Treatment form.
⩥ What is a comprehensive/focus review audit?. Answer: A large
number of claims are selected for review that might be focused on
specific procedure and/or dx codes
⩥ What is RAT-STATS used for by an auditor?. Answer: Software used
in performing statistical random samples and evaluating results.
⩥ The Stark Statute applies to who and states what?. Answer: Applies to
government payers. States the provider cannot refer pts to a health care
facility where they or immediate family members has a financial
relationship.
⩥ What are the recommended number of charts to audit per provider and
the minimum frequency of the audit?. Answer: 10 records per provider
each year.