A Fordney Ch3
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
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| A medical record is considered | show 🗑
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| A medical report is a | show 🗑
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| show | supporting documentation in the medical record
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| The chronologic recording of pertinent facts and observations about the patient's health is known as | show 🗑
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| show | defense of a lawsuit and/or insurance carriers require accurate documentation that supports procedure and diagnostic codes
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| show | S-subjective, O-objective, A-assessment, P-plan
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| When a patient fails to return for needed treatment, documentation should be made | show 🗑
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| show | cross out the incorrect entry, substitute the correct information, date and initial the entry
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| show | CC
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| Levels of evaluation and management services are based on type(s) of physical examination that may be | show 🗑
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| show | limited examination of the affected body area
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| Official American Hospital Association policy states that "abbreviations should be totally eliminated from the more vital sections of the record, such as the" | show 🗑
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| Varicella is the medical term for | show 🗑
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| Dyspnea is the medical term for | show 🗑
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| Coryza is the medical term for | show 🗑
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| show | baldness
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| A diseased condition or state is known as | show 🗑
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| show | comorbidity
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| What does comorbidity mean | show 🗑
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| show | has not received any professional services from a physician who belongs to a group practice within the past 3 years
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| An established patient is one who | show 🗑
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| show | the transfer of the total or specific care of a patient from one physician to another or the term used when requesting an authorization for the patient to receive services elsewhere
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| When a discussion takes place with a patient concerning the risks and benefits of treatment options it is considered | show 🗑
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| show | right lower quadrant
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| Repair of lacerations that require layered closure of one or more of the deeper layers of the skin and tissues is known as | show 🗑
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| show | Simple
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| A review of patient records done before billing is submitted is called | show 🗑
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| show | exclusion from program participation is mandatory
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| show | Only the minor patient
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| Which of the following cases should NOT use fax transmission | show 🗑
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| Who may accept a subpoena | show 🗑
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| show | state and local law
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| show | patients' medical records, x-ray films, and inactive patients' medical records
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| Provider who sends the patient for tests or treatment | show 🗑
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| show | consulting physician
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| show | attending physician
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| Individual who directs the selection, preparation, or administration of tests, medications, or treatment | show 🗑
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| show | treating or performing physician
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| show | context
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| Area of the body in which the symptom is occuring | show 🗑
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| When the pain/symptom occurs | show 🗑
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| Character of the symptom/pain (burning, gnawing) | show 🗑
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| How long the symptom/pain has been present and how long it lasts when the patient has it | show 🗑
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| show | associated signs and symptoms
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| Things done to make the symptom/pain worse or better | show 🗑
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| show | consultation
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| Transfer of the total care of a patient from one physician to another | show 🗑
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| Providing similar services to the same patient by more than one physician on the same day | show 🗑
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| show | continuity of care
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| show | counseling
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| Intensive care provided during an acute life-threatening condition that requires constant bedside attention by the physician | show 🗑
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| Care provided during a life-threatening condition in the hospital emergency department | show 🗑
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| show | severity
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Created by:
leemiller
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