NR511 Final Exam Study Guide
Week 1
1. Define diagnostic reasoning
2. Discuss and identify subjective & objective data
3. Discuss and identify the components of the HPI
4. Describe the differences be
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NR511 Final Exam Study Guide
Week 1
1. Define diagnostic reasoning
2. Discuss and identify subjective & objective data
3. Discuss and identify the components of the HPI
4. Describe the differences between medical billing and medical coding
5. Compare and contrast the 2 coding classification systems that are currently used in the US healthcare system
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6. Discuss how specificity, sensitivity & predictive value contribute to the usefulness of the diagnostic data
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7. Discuss the elements that need to be considered when developing a plan
8. Describe the components of Medical Decision Making in E&M coding
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9. Correctly order the E&M office visit codes based on complexity from least to most complex
10. Discuss a minimum of three purposes of the written history and physical in relation to the importance of documentation
11. Accurately document why every procedure code must have a corresponding diagnosis code
12. Correctly identify a patient as new or established given the historical information
13. Identify the 3 components required in determining an outpatient, office visit E&M code
14. Describe the components of Medical Decision Making in E&M coding
15. Explain what a “well rounded” clinical experience means
16. State the maximum number of hours that time can be spent “rounding” in a facility
17. State 9 things that must be documented when inputting data into clinical encounter
18. Identify and explain each part of the acronym SNAPPS
Week 2
1. Identify the most common type of pathogen responsible for acute gastroenteritis
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2. Recognize that assessing for prior antibiotic use is a critical part of the history in patients presenting with diarrhea
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