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Scribe America Final Exam (GRADED A) Questions and Answers (100% Guaranteed Pass)
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Scribe America Final Exam (GRADED A) Questions and Answers (100% Guaranteed Pass)
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Scribe America Final Exam (GRADED A) Questionsand Answers (100% Guaranteed Pass)
What medical term describes the surgical removal of the gallbladder?
Cholecystectomy
What does "PHI" stand for?
Protected Health Information
T/F. Sharing information about a case with family is allowed, as long as you are scribing with the
physician assigned to the case.
False
A patient underwent brain surgery to treat bleeding in the brain from a stroke. What PSHx would you
record into the chart?
Craniotomy
A patient's PCP is on vacation. The patient is scheduled to see the NP who is covering for the PCP during
this time. The patient has never been seen by the NP before. Is this patient considered a new patient or
an established patient?
Established
A patient is diagnosed with back strain caused by heavy lifting. As part of the treatment, the physician
discusses 4-5 different back stretching exercises that the patient can perform every morning and before
doing any heavy lifting. The discussion only takes 10 minutes of a 15 minute Established Patient visit.
Would your physician be able to bill counseling time on this patient?
Yes
,What medical term would best describe "the likely course or outcome of a disease"?
Prognosis
Which section of the chart should you document when you hear the following cue "what medical
problems do you have"?
PHx
You are writing an HPI for a patient who presented for hyperlipidemia management. In the middle of the
visit, your patient also reports having recently experienced urinary symptoms. Which HPI structure
would be the best to use in this scenario?
Multiple complaints structure
Which of the following is NOT a purpose of HITECH?
1. To require equal access, opportunity, and affordability for health insurance plans by screening patient
health information
2. To require government accountability on health insurance plans available in the market place
3. To require encryption when using technology to transmit patient related information
4. To require patient accountability in paying for their health care visit
What medical term would describe a patient with a history of infection or inflammation of the liver?
Hepatitis
, For correct billing and reimbursement to go through, a counseling note requires docuementation of the
following:
1. Total time with the patient
2. Percentage of time spent counseling
You are writing an HPI for a very complex patient who has had multiple recent hospital admissions for
lung cancer. Which HPI structure would be the best to use in this scenario?
Chronologic Structure and Multiple complaints structure
Which of the following would be valid complications for CAD?
MI
Read the following HPI and verify whether this HPI meets Level 4 billing criteria for a NEW patient:
57 year old male patient presented with RLQ abdominal pain, which began 5 days ago. He states that he
was mowing the lawn when the pain began. Patient reports he took OTC Tylenol yesterday without
relief. There has been no nausea, vomiting or diarrhea.
Yes, it is level 4.
What are the possible consequences of a HIPAA violation?
1. Scribe program cancellation
2. Prison time
3. Termination
4. Violator is blacklisted from medical programs like Medical, PA, or NP school
5. Monetary fines to you and the hospital
6. Lawsuit against you and the hospital
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