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Exam (elaborations)

TAUC Pre-Scribe U Exam Practice Questions and Answers

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TAUC Pre-Scribe U Exam Practice Questions and Answers What should be consistently documented in the Procedures section for billing purposes? - Answer️️ -Prescription medication discussions Review of outside diagnostic results Discussions with external professionals Independent historians ...

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  • September 16, 2024
  • 120
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • TAUC
  • TAUC
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, ©SOPHIABENNETT 2024/2025 9:45 AM



TAUC Pre-Scribe U Exam Practice
Questions and Answers


What should be consistently documented in the Procedures section for billing

purposes? - Answer✔️✔️-Prescription medication discussions


Review of outside diagnostic results

Discussions with external professionals

Independent historians needed

What is included in the prescription medication discussions? - Answer✔️✔️-Document ll

discussions regarding any prescription medicine that the patient is already taking

whenever it is relevant to the current condition

- Ex. BP meds for pt who is hypertensive

Document when a pt refuses a prescription medicine recommended

What is included in review of outside diagnostic results? - Answer✔️✔️-Whenever a

patient shows you outside labs or radiology results and asks you questions about

them... Document: outside lab results reviewed and showed (insert interpretation)

When documenting discussions with external professionals what must you include? -

Answer✔️✔️-Document any conversations you have with external sources such as:

-ER triage nurse

-Urgent specialist

-External provider involved w/ pts care


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, ©SOPHIABENNETT 2024/2025 9:45 AM


-Non-healthcare professionals involved in pts management

What do you document when independent historians are needed? - Answer✔️✔️-When a

pt is unable to provide a complete or reliable hx document discussions with another

historian

When selecting a dx modifier what should you not do? - Answer✔️✔️-Do not select any of

the three choices in the top under "uses for coding"

-uncomplicated

-systemic symptoms

-poses a threat to life or bodily functions

What do you select instead when selecting a dx modifier? - Answer✔️✔️-Choose the

numbered choices from the bottom section (top 4)

-Acute

-Chronic

-Incidental lesion/mass

Bottoms 6 are additions to top 4

What should all fractures be referred to as? - Answer✔️✔️-Clinical not possible and you

must include an associated fracture dx

Should you document any refused procedures in the procedure note? - Answer✔️✔️-yes

Can diagnosis modifiers be modified at a later time? - Answer✔️✔️-Yes in the diagnosis

screen by clicking on "dx mod" button

Are charts coded by providers? - Answer✔️✔️-No




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, ©SOPHIABENNETT 2024/2025 9:45 AM


What do you do if the common diagnosis list does not contain the diagnosis you need? -

Answer✔️✔️-You can use the ICD-10 search function

-Type the diagnosis you are searching for, select from list, this will take you to the next

screen

-Select a second more accurate diagnosis on the second screen

After you select the diagnosis, what must you specify in the next screen? - Answer✔️✔️-

Laterality, visit number, further specification of anatomy

What can you do if you are unable to locate the exact diagnosis? - Answer✔️✔️-Rename

the diagnosis by typing in the rename bar

A plan is not created for every diagnosis... T/F - Answer✔️✔️-FALSE

What does a plan contain? - Answer✔️✔️-Advice

Referral options

Discharge instructions

RX

Every plan should include how many items/topics that are chosen under the advice? -

Answer✔️✔️-3

If a parent received an XR, CT, US during their visit, what should you do? - Answer✔️✔️-

Select lab and XR sent with patient

-you then right click the bullet point and choose "nurse-todo list"

What does every referral include? - Answer✔️✔️-A STL region associated with it.

How many referrals should you select in the same region as the TAUC location? -

Answer✔️✔️-2-4


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