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NR511 Week 1 Exam With Questions And 100% ALL SURE ANSWERS
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NR511 Week 1 Exam With Questions And 100% ALL SURE ANSWERS
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NR511 Week 1 Exam With Questions And 100% ALL SURE ANSWERS
Terms in this set (79)
Reflective thinking because the process involves questioning one's thinking to determine if all
possible avenues have been explored and if the conclusions that are being drawn are based on
Define diagnostic reasoning evidence.
Seen as a kind of critical thinking.
What the patient tells you, complains of, etc.
What is subjective data? Chief complaint
HPI
ROS
,8/7/24, 12:06 PM
What YOU can see, hear, or feel as part of your exam.
What is objective data?
Includes lab data, diagnostic test results.
Specifically related to the chief complaint only.
Components of HPI Detailed breakdown of CC.
OLDCART
Diagnosis code explains the necessity of the procedure code.
Why must every procedure code have a
corresponding diagnosis code?
Insurance won't pay if they don't correspond.
Place of service
What are the three components required in
Type of service
determining an outpatient office visit E&M code?
Patient status
What is medical coding? The use of codes to communicate with payers about which procedures were performed and why
Process of submitting and following up on claims made to a payer in order to receive payment for
What is medical billing?
medical services rendered by a healthcare provider.
Common procedural terminology
What are CPT codes?
Offers the official procedural coding rules and guidelines required when reporting medical services
and procedures performed by physician and non-physician providers.
International classification of disease
What are ICD codes?
Used to provide payer info on necessity of visit or procedure performed.
The ability of the test to correctly detect a specific condition.
What is specificity? If a patient has a condition but test is negative, it is a false negative.
If a patient does NOT have a condition but the test is positive, it is a false positive.
Test that has few false negatives.
What is sensitivity? Ability of a test to correctly identify a specific condition when it is present.
The higher the sensitivity, the lesser the likelihood of a false negative.
NR511 Week 1 Exam
, 8/7/24, 12:06 PM
The likelihood that the patient actually has the condition and is, in part, dependent upon the
prevalence of the condition in the population.
What is predictive value?
If a condition is highly likely, the positive result would be more accurate. answer is true
Pt's preferences and actions
What elements need to be considered when Research evidence
developing a plan? Clinical state/circumstances
Clinical expertise
Risk
Data
Diagnosis
What are the components of medical decision
making in E&M coding? The more time and consideration involved in dealing with a pt, the higher the reimbursement from
the payer.
Documentation must reflect MDM!
New patient:
1. Minimal/RN visit: 99201
2. Problem focused: 99202
3. Expanded problem focused: 99203
4. Detailed: 99204
5. Comprehensive: 99205
Correctly order the E&M office visit codes based on
complexity from least to most complex.
Established patient:
1. Minimal/RN visit: 99211
2. Problem focused: 99212
3. Expanded problem focused: 99213
4. Detailed: 99214
5. Comprehensive: 99215
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