NR511 FINAL 94 QUESTIONS WITH CORRECT ANSWERS

Define diagnostic reasoning Correct Answer -A type of critical thinking -Includes systematic way of thinking that evaluates each new piece of data to support some hypothesis and reduce others -Evaluates if all the avenues have been explored and that the conclusion is based on evidence -To solve problems, promote health, screen for dz/illness: all require sensitivity to complex stories, contextual factors, sense of probability/uncertainty Discuss & identify subjective & objective data Correct Answer Subjective: what a pt reports, complains of, tells me in response to my questions. Includes ROS, CC, HPI Objective: info you can see/feel Lab results/data Discuss & identify the components of the HPI Correct Answer O: onset L: location D: duration (does it come and go?) C: characteristics A: aggravating factors R: relieving factors T: treatments attempted S: severity of pain Describe the differences between medical billing and medical coding Correct Answer Billing: process of submitting and following up on claims made to a payer in order to receive payment for medical services rendered by healthcare provider. Coding: the use of codes to communicate with payers about which procedures were performed and why. Compare & contrast the 2 coding classification systems that are currently used in the US healthcare system Correct Answer CPT: common procedural terminology Offical procedural rules and guidelines required when reporting services/procedures performed by providers Recognized universally Provide logical means to be able to tract healthcare data, trends, outcomes Represented by 5 digit code Every CPT must have dx that corresponds/explains why procedure was done