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ScribeAmerica OP Final exam 2022/2025 with 100% correct answers
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ScribeAmerica OP Final exam 2022/2025 with 100% correct answers
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ScribeAmerica OP Final exam 2022/2025 with100% correct answers
New Patient - <<ANSWER>>No previous records, longer visit, detailed chart
established patient - <<ANSWER>>Previous records available from last 3 years,
shorter visit, concise chart
Diagnostic visit - <<ANSWER>>New problem, chief complaint: new symptom, goal is to
determine the cause of the problem and appropriate treatment
health management - <<ANSWER>>check up, CC: routine physical or management of
chronic problems, goal is preventative care and/or assessing progress of ongoing
medical problems
What does the plan include? - <<ANSWER>>Recommended Txs for each diagnosis
Prescriptions ordered today
Studies or tests ordered today
Follow-up with other healthcare professionals
Follow-up here: when should pt return?
How is the plan written? - <<ANSWER>>1) Each item should appear on a separate line
2) Bulleted or numbered list
3) At least one bullet to address each diagnosis
4) Last bullet should always be timeline for follow-up in the office
MACRA - <<ANSWER>>a payment model for physicians and is run by CMS
CMS - <<ANSWER>>Centers for Medicare and Medicaid Services
largest payer for healthcare in the U.S.
sets the stage for how all doctors are paid for their services
, Level 4 HPI elements - <<ANSWER>>new: 4
estab: 2
Level 4 ROS elements - <<ANSWER>>new: 10
estab: 2
Level 4 PHx - <<ANSWER>>new: 3
estab: 1
Level 4 PE systems - <<ANSWER>>new: 9
estab: 2
Level 4 Assessment - <<ANSWER>>new: 1
estab: 2
E&M level codes new patient - <<ANSWER>>9920(#oflevel)
E&M level codes established patient - <<ANSWER>>9921(#oflevel)
Superbill - <<ANSWER>>A bill, submitted to the insurance company, that reflects the
services provided to the patient
MIPS - <<ANSWER>>Merit-based Incentive Payment System
Doctors who prove high quality and better outcomes can receive large bonus payments
from CMS. Those with poor quality are penalized financially.
Quality Measures - <<ANSWER>>physicians receive their payment adjustments by
reporting on a number of __________ that must be recorded in a specific location in the
EMR.
Scribes CAN - <<ANSWER>>1. Document the history, physical exam, results,
procedures, and physician consults
2. Access and document laboratory results and radiology findings
3. Access and display X-Rays for the physician to review
4. Locate and obtain PMHx, previous charts, past results, and recent studies
5. Record physician interpretations of X-Rays and ECG's
Scribes CANNOT - <<ANSWER>>1. touch patients
2. partake in any activity that may affect patient health
3. handle bodily fluids or specimens
4. sign or authenticate any chart or record
5. give verbal orders or submit electronic orders
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