Question 1
pts
An 81-year-old patient presents for a physical. She recently had a fall and now has
problems walking up her stairs. The only restroom in the house is on the second floor.
She also has a flight of stairs outside her house she has to navigate in order to reach
street level, and this is difficult for her. Where does this information belong in your chart
note?
Plan.
Review of systems.
You Answered
Assessment.
Correct Answer
Functional health problems.
The patient is having trouble with her normal routine and daily life due to her recent fall,
so this information belongs in the functional health patterns section.
Question 2
pts
Which one of the following is true regarding the importance of documentation?
It is only important in order to bill the patient for your service.
It allows you to communicate your findings with the general public.
Correct!
It allows you to communicate your findings to other providers and serves as a record for
the visit.
It is only important for defending yourself in the event of a law suit.
, The purposes of documentation are to record the patient's report of symptoms, PMH,
lifestyle and family factors, positive and negative findings on physical exam and the
provider's plan. Documentation is important for billing purposes, communication with
other providers and in the case litigation.
Question 3
pts
Most health maintenance organizations (HMOs) use a reimbursement mechanism
called capitation. What does this mean?
Correct!
The HMO reimburses the provider a predetermined fee per client per month based on
the client’s age and sex.
The HMO is not responsible for provider reimbursement.
The HMO reimburses the provider only if the patient has paid their deductible.
The HMO reimburses the provider on a fee-for-service basis.
The reimbursement mechanism called capitation that some HMOs use is one in which
the HMO reimburses the provider a set fee per client per month based on the client's
age and sex. HMOs are prepaid, comprehensive systems of health benefits that
combine both financing and delivery of services to subscribers. They may pay providers
on a capitated or fee-for-service basis.
Question 4
pts
What is an Accountable Care Organization (ACO)?
A payment system for episodes of care to save money for the health care system.
Correct!
A group of providers and suppliers who come together voluntarily to give coordinated,
high-quality care to Medicare patients.
A bundling of pilot organizations.
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