Soap charting - Study guides, Class notes & Summaries

Billing and Coding Final Exam Questions and Answers Already Passed A claims assistance professional (CAP) acts as an informal representative of patients and helps patients interpret insurance contracts. False Which level of education is generally required for one who seeks employment as an insurance coder? c) Completion of an accredited program for coding certification The amount of money an insurance billing specialist earns is dependent on which factors? d) All of the above: knowl...

CSAC Exam Questions and Answers Already Passed 1- No Treatment, 2- Education, 3- Brief/Short-term Treatment, 4- Intermediate Treatment, 5- Long-term Treatment SASSI Scores A blood alcohol concentration of ____% can make a person seriously intoxicated and lose consciousness, but probably not enough to produce death. .35 A numeric scoring of an individual's degree of alcoholism arrived through the interview process. The Comprehensive Drinker Profile A partnership between AA and ...

Nurs1000 – Documentation Exam Questions With 100% Verified Answers Standards of practice for nursing documentation - answermust be accurate, comprehensive, and flexible enough for members of the health care team to retrieve critical data, maintain continuity of care and track patient outcomes, and it must reflect current standards of nursing practice. confidentiality of nursing documentation - answera nurse is legally and ethically obligated to keep information about patients confidentia...

SOAP Charting

PTTC Terms with Complete Solutions PTTC Terms with Complete Solutions PTTC Terms with Complete Solutions A Physical Therapy Technician/Aide may perform some or all the following duties - ANSWER-Carrying out non-technical duties of physical therapy, Preparing treatment areas, Ordering devices and supplies The following are settings in which they work: - ANSWER-Schools, Clinics, General Private Practices, Acute Care Hospitals, Nursing Homes,Sub Acute Facilities and Rehabilitation C...

MNT II Final Exam Practice Questions and Answers The patient tells you that they have been following a 2000 kcal diabetic diet at home. In which section of the note will you record this information? - Ans:-A (Assessment) You are recommending that a patient be given an oral nutrition supplement (e.g. Ensure) between meals in order to increase his/her kcal and protein intake. In which section of the note will you record this information? - Ans:-I (Intervention) Your client tells you that he...

Paroxysmal nocturnal dyspnea: - awakening from sleep with SOB and needing to be upright to achieve comfort Electronic health record: - Systematic collection of a patient's health care and treatment in a digital format Mistakes in documentation that commonly result in malpractice: - - failing to record pertinent health or drug information - failing to record nursing actions - failing to record medication administration - failing to record drug reactions or changes in patient's condition...

What is a medical record? correct answers a confidential, permanent legal document of information relevant to that patients health care What does the health care information system do? correct answers support and enhance health care Define informatics. correct answers use of information and computer technology to support all aspects of nursing practice What does the EMR/EHR do? correct answers increases patient safety What are the five steps of expected documentation? correct answers...

NCCT Practice exam For how many years should a provider store medical records (select the least number of years that maintains compliance with state and federal regulations)? A. 15 years B. 10 years C. 5 years D. 20 years Correct response: 10 years Rationale: Federal and state regulations require a minimum storage time frame for medical records. State regulations may require a longer or shorter time frame, depending on the state. Every medical provider should routinely check state and fe...

NFDN 1002 MIDTERM UNITS 1-4 2024 EXAM!!