Housekeeping and Values
History
Physical Exam
Billing and Coding
A&P
100
This site is used to clock-in and clock-out of shifts.
What is myWorkday
100
Information including in the Subjective part of the SOAP note.
What is the History of Present Illness and Review of Systems.
100
Systems involved in a basic physical exam
What is General, HENT, Eyes, Pulmonary, Skin, Neurological, Psychiatric.
100
The chief complaint for a patient presenting to follow up for HTN.
What is hypertension evaluation and management.
100
Two items documented in an assessment.
What is the diagnosis and summary of the visit.
200
ScribeAmerica's core values.
What is Innovation, Integrity, Leadership, Quality, People, Trusted Partner.
200
Items contained in the HPI vs ROS.
What is the story of symptoms and events that led to the patient visit vs a head-to-toe checklist of the patient's body symptoms.
200
Three items included in an Objective Evaluation.
What is Vital Signs, Physical Exam, and Orders/Results.
200
Billing is differentiated by what characteristic
What is new vs established patients
200
Types of assessment structure
What is a Brief vs Comprehensive summary vs a simple statement.
300
What is the management chain in ScribeAmerica starting with the on-site staff.
What is a Scribe, Quality Assurance Associate, Chief Scribe, Project Manager, and Director of Operations.
300
History items to be documented by the scribe not included in the Subjective portion of a SOAP note.
What is the past medical history, past surgical history, family history and social history.
300
Benign findings of a cardiovascular exam.
What is regular rate and rhythm, no murmurs, rubs or gallops, and intact distal pulses.
300
Elements required for a new patient Level 4 bill
What is 4 HPI elements, 10 ROS elements, 3 PMH requirements, 9 (18) Physical Exam elements, and 1 A&P element
300
Results to be including in an assessment
What is new/interval laboratories or imaging studies.
400
HIPAA stands for this phrase.
What is the Health Insurance Portability and Accountability Act.
400
Ways to obtain an ROS.
What is Physician-led, Nurse-led or patient questionnaire.
400
Edema and tenderness are located in which system.
What is Musculoskeletal
400
The nine elements of an HPI
What is location, quality, duration, timing, severity, context, aggravating/relieving factors, associated symptoms, pertinent negatives.
400
Contained in the Plan
What is outlining how the doctor will treat/manage the patient.
500
The scribe scope includes these functions.
What is Documenting in real-time for the physician, tracking/locating previous lab or radiology findings, and improving departmental communication.
500
Proper HPI Phrasing
What is writing in complete sentences, using proper grammar (capitalization, punctuation...), using approved medical abbreviations.
500
The nine abdominal quadrants
What is the Epigastrium, right flank, left flank, right upper quadrant, left upper quadrant, periumbilical area, right lower quadrant, left lower quadrant, and suprapubic area.
500
The Superbill
What is the bill submitted to the Insurance company for reimbursement.
500
Last section of the plan
What is follow up instructions