Mod E week 2 Theory

15 terms by chiquettaa

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An expanded problem-focused examination is a/an

limited examination of the affected body area.

Repair or lacerations that require layered closure of one or more of the deeper layers of the skin and tissues is known as

intermediated

who may accept a subpoena?

Both A and b

Waht does comobidity mean?

Underlying diseases or other conditions present at the time of the visit

A diseased condition or state is known as

morbidity

The official American Hospital Association policy states that "abbreviations should be totally eliminated from the more vital sections of the record, such as the"

All of the above

Reasons for documentation are

Both a and b

The SOAP in patient medical record charting may be defined as

S-subjective, O-ovjective, A-assessment, P-plan

In dealing with managed care plans, a referral is

Both b and c

The key to substantiating procedure and diagnostic code selections for proper reimbursement is

supporting documentation in the health record.

the abbreviation HPI stands for ___ __ ___ ____

history of present illness

An internal review known as ____ ____ is done after billing insurance carriers.

retrospective review

The abbreviation PH stands for ____ ____.

past history

An inventory of body systems obtained through a series of questions that are used to indentify signs and/or symptoms of the patient is known as a/an ____ ____ ____

review of system

The abbreviation SH stands for ____ ____.

social history.

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