Terms
Forms/Documents
Chart Evaluation & E/M
Office Visit
Tests
100
What is a preventative check-up to test for or inoculate against significant diseases?
What is Wellness Screenings
100
When a fax is received into the clinic’s account what is sent to the clinic to notify them of the inbound fax?
What is an e-mail.
100
How may an Administrator edit or alter a patient’s archived information?
What is: Archived information cannot be edited or altered
100
If a provider locks an office visit note, who will have access to edit the note?
What is no one-they can be amended, but no one will have access to edit the note.
100
Who must review test results before they are stored in a patient’s chart?
What is a physician.
200
Which SpringCharts feature is used to define criteria to search patient charts for health needs and screenings?
What is Chart Evaluation
200
What would the user select to check the status of "sent faxes" from SpringCharts?
What is Outbound Fax History.
200
What does a user select to setup chart evaluations?
What is the Administration menu.
200
What can be added to an office visit note after it has been permanently signed and locked?
What is an Addendum to supplement the clinical information.
200
What is automatically added to the test order before it is printed?
What is the Diagnosis from office visit.
300
What is the term used for patient information subject to change with each office visit?
What is Dynamic.
300
Once the provider has created a patient instruction sheet, what option does the provider have to get the document to the patient?
What is: the patient may receive a printed copy or instructions via e-mail.
300
What criteria are optional when setting up a Chart Evaluation item?
What is the Diagnosis Criteria
300
If the Order Templates are used in the OV screen what will automatically be added to the order form from the OV notes?
What is both diagnosis and ordered tests.
300
When test results are received and manually put into the pending test, where is the test sent?
What is to the Completed Tests (for the physician’s viewing).
400
What is the information obtained by a clinician by asking the patient specific questions related to topics such as drug use, caffeine intake, living arrangements, and occupations?
What is Social History.
400
Once a form letter has been completed and the administrator selects {Done}, what action will be available for the user?
What is "Print" letters to all selected patients
400
What button is selected to view the E&M Code Factors that were used to determine the specific recommended codes?
What is: {Details}
400
Why would an order form be created in the patient’s chart?
What is: only if the patient was not being seen as part of a normal office visit.
400
What is the Match choice task where SpringLabs will automatically match an imported test with a patient’s pending test?
What is Match Test.
500
Name of the structured technique used by physicians to gather healthcare history covering the organ systems from the patient?
What is Review of Systems.
500
Name the documents which will not be seen in the Archive Patient Chart window?
What is: File cabinet documents-documents that were stored in the chart’s File cabinet prior to archiving the patient will not be seen in the Archive Patient Chart Window
500
What steps should a user take to set up the E&M Coder feature in a network environment?
What is: Select E&M Coder from the Administration menu of the SpringCharts server.
500
In SpringCharts, what is designed to display codes and items which are often overlooked or not available in the OV exam and can be billed?
What is a Superbill-typically contains the medical office’s most common procedures and diagnosis codes and descriptions
500
What is the difference between a test and a procedure in SpringCharts?
What is: Tests require inputting a result; procedures do not
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