MedTrak Screens
Meds
Mostly Codes
Which of the following
Etc.
100
This section on the visit documentation screen is for the physician to document the patient's history and physician exam findings.
What is history and exam?
100
These kind of medications are those that the medical facility has on hand to provide to the patient.
What are dispensed medications?
100
Physicians charge for professional services called this.
What are evaluation and management services?
100
Is an example of problem-focused patient aftercare instruction. All patients are advised to call the physician if they have a fever of 103F. A patient with an upper respiratory tract infection is advised to engage in range-of-motion activities. A patient with a prescription for a narcotic analgesic is warned that the medication may cause drowsiness. A patient seen for a routine physical exam is advised to follow up with the physician in 3 or 4 days.
What is a patient with a prescription for a narcotic analgesic is warned that he medication may cause drowsiness.
100
This is a key component that influences the choice of level of code for evaluation and management services.
What is history?
200
This section must be completed by the physician before the patient is discharged from the medical facility.
What is additional orders?
200
These kind of medications are those for which the patient needs to have a prescription filled at a pharmacy.
What are prescription medications?
200
Physician charge for E/M services using this kind of code.
What is CPT?
200
Is an example of an instruction that would be founbd in the Important "Points to Remember" section on the aftercare instruction. Rest and don't use left ankle. Recheck in one week or sooner, if worse. Continue taking ibuprofen to reduce pain. Unable to participate in physical education.
What is Rest and dont use the left ankle?
200
This is an element that requires different evaluation and management code ranges.
What is place of service?
300
This section of the physical examination portion will have the most questions if the physician is using the checkbox method of recording the history and examination findings.
What is Sections related to complaints recorded when the patient checked in?
300
Of the following, which would be considered a dispensed medication? Prescription faxed to a pharmacy. Paper prescription given to a patient. Injection administered during the office visit. Electronically generated prescription to a mail order pharmacy.
What is injection administered during the office visit?
300
The key components in deciding the level of E/M services are this. (3 things)
What are history, examination, and medical decision making?
300
Is an example of an instruction that would be found in the "What to be concerned about" section of the aftercare instructions. Elevate the ankle when at rest. No work until the next appointment. Limit standing to 2 hours per day. Report decreased movement or sensation in the toes immediately.
What is Report decreased movement or sensation in the toes immediately?
300
These inform the patient as to how to self-treat, how to take the prescribed medications, and when to return to the medical facility.
What is aftercare instructions?
400
This is the last step for the physician in the Out the Door process.
What is Level of Service?
400
These type of prescriptions demonstrate meaningful use of an electronic medical record system.
What are electronically generated prescriptions?
400
This is how standard instructions are created in MedTrak.
What is by drawing them from the MedTrak library of instructions?
400
Is an example of an evaluation and management service. X-ray of the right ankle. Injection of a parenteral medication. Examination of a patient by a physician.
What is Examination of a patient by a physician?
400
This is the physician's assessment of the patient's condition and a detailed plan for treating the patient.
What is assessment and plan of care?
500
How does MedTrak use the information entered by the physician on the Level of Service screen?
What is it assigns a level of service billing code for the patient?
500
This is why the physician should enter information about samples of medication given to a patient.
What is incase there is a recall on the sample medication?
500
The three different types of codes. (Not actually on the exam, just ran out of code questions =) )
What is CPT, HCPCS, and ICD-9?
500
Factors influences the level of decision making chosen by the physician on the Level of Service screen. Risk of complications. Number of previous surgeries. New patient or established patient status.
What is risk of complications?
500
For this patient it is necessary for the physician to indicate specifically if the patient can work without restrictions or must work with restrictions specified by the physician.
What is workers' compensation patients?
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