1st outpatient visit is called the ______ visit, and the 2nd visit is called the _______ visit.
First 3 factors a coder must consider when coding are patient ______, ________, and _______
Patient status, type of service, place of service
Which history is more complex; the problem focused history or the expanded problem focused history?
Expanded problem focused
The 4 types of examinations in order of difficulty (least to most difficult)
Problem focused, expanded problem focused, detailed, and comprehensive
One who has not received services from the physician or another physician in the same group (and specialty) within the last 3 years
One who has received services from the physician or another physician in the same group within the last 3 years.
4 types of medical decision making, in order of complexity from most to least complex
High, moderate, low, straightforward
5 types of presenting problems from the most risk and least recovery to least risk and most recovery
High severity, moderate severity, low severity, self-limited/minor, minimal severity
Inpatient time spent at the bedside or nursing station during or after the visit is what kind of time?
The patients ______ _______ will reflect the number of systems examined by a brief statement of the findings.
Discussion with a patient and/or family concerning 1 or more of the following areas: diagnostic results, impressions, and/or recommended diagnostic studies, prognosis, risks and benefits of treatment is ______
There is no distinction made between the new and established patients in this service department of a hospital
Services rendered by a physician whose opinion or advice is request by another physician or agency in the evaluation and/or treatment of a patient is a _____, whereas the physician who has primary responsibility for the patient in the hospital is called ______
When critically ill patients in medical emergencies require the constant attendance of the physician to stabilize them, what kind of care is needed?
When care is provided for similar services to the same patient by more than one physician on the same day for different conditions, the care is ______
What is the name for the assumption of the total or specific care of a patient from one physician to another that does no constitute a consultation?
Transfer of care
An inventory of body systems obtained through questioning to identify signs and/or symptoms that the patient may be experiencing is a ____ of _____
Review of systems