MOA 193 - Current Procedural Term Coding » Spring 2023 » Digital Review & Assignment 7

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Question #1
Which history classification captures a patient's chief complaint, expanded history of the present illness, the problem-pertinent system review extended to include a review of a limited number of additional systems, and pertinent past, family, and/or social history directly related to the patient's problem?
A.   Comprehensive history
B.   Detailed history
C.   Problem-focused history
D.   Expanded problem-focused history
Question #2
What is an HPI?
A.   A series of questions addressing each of the body systems
B.   A review of symptoms
C.   A notation of all negative symptoms
D.   A history of present illness
Question #3
What is the difference between a brief HPI and an extended HPI?
A.   A brief HPI is appropriate for complex or confusing symptoms, while an extended HPI includes one to three elements
B.   A brief HPI and an extended HPI are the same thing.
C.   A brief HPI encompasses one to three elements and may involve a single problem without any complicating factors or symptoms, while an extended HPI includes four or more elements and is appropriate for complex or confusing symptoms, prolonged development, and when a patient's history is obtained from someone other than the patient themselves.
D.   A brief HPI includes four or more elements, while an extended HPI encompasses one to three elements.
Question #4
What is a problem-pertinent system review?
A.   A series of questions addressing each of the body systems to uncover any signs and symptoms that the patient may be experiencing or has experienced
B.   A review of the patient's medical records from previous visits
C.   A review of the patient's insurance coverage
D.   A review of the patient's financial status
Question #5
Which history classification captures a patient's chief complaint and a brief history of the present illness or condition?
A.   Problem-focused history
B.   Comprehensive history
C.   Expanded problem-focused history
D.   Detailed history
Question #6
What is the purpose of capturing a patient's medical history?
A.   To obtain demographic information about the patient
B.   To bill the patient for services rendered
C.   To provide background information for medical decision-making
D.   To keep a record of the patient's health status over time
Question #7
How many categories of patient history are there?
A.   Two
B.   Three
C.   One
D.   Four
Question #8
What factors are considered to determine the appropriate level of E&M service codes?
A.   All of the reasons listed apply
B.   Only the extent of history obtained
C.   Only the complexity of medical decision making
D.   Only the examinations performed
Question #9
What is the importance of clear and detailed clinical documentation in medical decision making?
A.   It can lead to better patient care, treatment initiatives, and physician or specialty referrals
B.   It is important
C.   It is important for billing purposes only
D.   It is important only for legal purposes
Question #10
What is the purpose of a review of systems?
A.   To identify any signs and symptoms that the patient may be experiencing
B.   To assess constitutional symptoms
C.   To list all official body systems
D.   To document all negative symptoms
Question #11
What was the second system reviewed for Cecelia?
A.   Respiratory
B.   Musculoskeletal
C.   Constitutional
D.   Gastrointestinal
Question #12
What was the first system reviewed for Cecelia?
A.   Respiratory
B.   Constitutional
C.   Musculoskeletal
D.   Gastrointestinal
Question #13
How many systems were reviewed for Cecelia?
A.   One
B.   Four
C.   Three
D.   Two
Question #14
What is Cecelia's chief complaint?
A.   Night sweats
B.   Loss of appetite
C.   Extended migraine headache
D.   Diarrhea and vomiting
Question #15
What should a physician do if a notation is missing in the Complete ROS?
A.   Document all body systems individually
B.   Document at least 9 systems individually
C.   Document at least 10 systems individually
D.   Document at least 5 systems individually

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