Step 1: Explore View Encounters. The View Encounters screen allows you to view all the patient records in Nuance Clintegrity. Review the View Encounters screen and locates important patient information such as the account number, a medical record number (MRN), facility, patient name, payor, patient type (PT), charges, admission and discharge dates, and coding status.
What types of information can be found on this patient's detail screen? Select all that apply. Demographic information Facility Patient’s socioeconomic status Administrative information Patient Type Patient’s vital statistics (height, weight, temp, etc.) Visit characteristics Financial information
Patient Details tab consists of
Patient Name
Medical Record Number
Encounter Number
Race and Ethinicity
Insurance details
Address details
Date of Birth, Age, Sex
Guarantor
Primary Physician
Reason for visit
All other information found in Demographics, Providers, Diagnoses that is coding details, About the details of visit . Vital signs can be found in EMR reports and also vital signs tab, And other financial information in socioeconomic history.Patient anthopometric measurements found in patient details screen.
Step 1: Explore View Encounters. The View Encounters screen allows you to view all the...
What types of information can be found on this patient's detail screen? Select all that apply. Demographic information Facility Patient’s socioeconomic status Administrative information Patient Type Patient’s vital statistics (height, weight, temp, etc.) Visit characteristics Financial information
QUESTION 4 On the day of Max's discharge from the hospital, the attending physician asked him questions and provided information such as Max's final diagnosis, prognosis, the results of various diagnostic tests, and necessary follow-up in the outpatient setting. The provider created two medical records for this same date of service. A progress note for the day of discharge records the physicians review of diagnostic tests, assessment of the patient's condition, and decision to discharge home. The discharge summary provides...
As you have previously learned, there are five steps to the assignment E/M CPT codes: Step 1: Determine the main term by determining the type of service, place of service, and patient status. Step 2: Determine the level of history. Step 3: Determine the level of examination. Step 4: Determine the complexity of medical decision making. Step 5: Determine final code assignment. ICD-10-CM Diagnosis Coding First-listed Diagnosis—the condition treated or investigated during the relevant episode of care; coded according to...
QUESTION 1 Physicians and mid-level practitioners (NPs and PAs) use which coding system to capture their professional fees? A. DSM-5 B. CPT/HCPCS C. ICD-10-PCS D. ICD-10-CM 10 points QUESTION 2 Choose the best answer. Because each CPT/HCPCS code has its own separate fee, are coders allowed to code all services separately? A. Yes. In order to properly capture all charges, every CPT and HCPCS code should be coded separately to optimize reimbursement. B. No. A coder can only choose...
Case 1 PATIENT: Tom Smith DATE OF SERVICE: 9/10/XX BLOOD PRESSURE: 140/90 WEIGHT: 164 PULSE: Rapid TEMPERATURE: 100 Tom was seen today at the request of his wife for what she suspects is a recurrence of his cocaine dependence. On physical examination, the following was noted: EARS, EYES, NOSE, AND THROAT: Pupils are dilated. HEART: Heart rate is increased; blood pressure is 140/90. ABDOMEN: Soft, nontender, no abnormal masses PSYCHIATRIC: Oriented to time and place. Patient is very talkative and...
Using the book, write another paragraph or two: write 170 words: Q: Compare the assumptions of physician-centered and collaborative communication. How is the caregiver’s role different in each model? How is the patient’s role different? Answer: Physical-centered communication involves the specialists taking control of the conversation. They decide on the topics of discussion and when to end the process. The patient responds to the issues raised by the caregiver and acts accordingly. On the other hand, Collaborative communication involves a...