FREE AND STUDY GAMES ABOUT MOA CHAPTER 11 EXAM

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FREE AND STUDY GAMES ABOUT MOA CHAPTER 11 EXAM

QUESTIONS

Actual Qs and Ans Expert-Verified Explanation

This Exam contains:

-Guarantee passing score -19 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation

Question 1: patient's health record

Answer:

where important information about a patient's medical history and present condition is found

Question 2: assessment

Answer:

section of the CHEDDAR format of documentation where the diagnosis can be found

Question 3: the C section

Answer:

section of the CHEDDAR format of documentation where the presenting problem can be found

Question 4: O section of SOAP documentation

Answer:

data that comes from examination results and from the physician

Question 5: A section of SOAP documentation

Answer:

diagnosis or impression of a patient's problem; assessment

Question 6: S section of SOAP documentation

Answer:

data that comes directly from the patient

Question 7: clarity

Answer:

use of precise descriptions and accepted medical terminology when describing a patient's condition

Question 8: SOAP

Answer:

type of documentation that provides an orderly series of steps for dealing with any medical case

Question 9: patient's written consent

Answer:

necessary to release a patient's record to the patient's insurance company

Question 10: P section of SOAP documentation

Answer:

plan of action

Question 11: documentation

Answer:

process of recording information in the medical record

Question 12: hospital discharge summary

Answer:

a summary of the reason a patient entered the hospital, the care the patient received in the hospital, and the outcome of the hospitalization

Question 13: due course

Answer:

at the time of a patients visit

Question 14: sign

Answer:

objective, or external, factor that can be seen or felt by the physician or measured by an instrument

Question 15: patient registration form

Answer:

first document found in a patient's financial record

Question 16: prospective internal audit

Answer:

audits performed before billing is submitted

Question 17: retrospective internal audit

Answer:

audit performed after billing is submitted

Question 18: The Joint Commission

Answer:

organization that reviews patient health records to monitor whether the care provided and the fee charged met accepted standards

Question 19: symptom

Answer:

subjective, or internal, condition that is felt by the patient but are not necessarily apparent in a physical examination