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NR 511 WEEK 1 EXAM STUDY GUIDE

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NR 511 WEEK ONE Define diagnostic reasoning: Identify subjective & objective data. Identify the components of the HPI. Develop an appropriate differential. Accurately describe why every procedure code... must have a corresponding diagnosis code. Identify the three components required in determining an outpatient, office visit E&M code. Describe the differences between medical billing and medical coding. Compare and contrast the two coding classification systems that are currently used in the U.S. healthcare system. Discuss how specificity, sensitivity, and predictive value contribute to the usefulness of diagnostic data. Discuss the elements that need to be considered when developing a plan. (Pt’s Describe the components of medical decision making in E&M coding. Correctly order the E&M office visit codes based on complexity from least to most complex. Define the components of a SOAP note nr 511 midterm Discuss a minimum of three purposes of the written history and physical in relation to the importance of documentation. Correctly identify a patient as new or established given the historical information. Correctly identify the most specific ICD-10 code with the information given Explain what a “well rounded” clinical experience means. Discuss the maximum number of hours that time can be spent “rounding” in a facility. Discuss nine things that must be documented when inputting data into clinical encounter logs. Explain each part of the acronym the SNAPPS presentation. [Show More]

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