Module E Week 2 Study Guide

Front 1

List four methods that may be used by carriers when external audits are performed

Back 1

under cover agents to pose as patients, send questionnaires to verify services rendered, may install anti fraud phone hotlines, billing question phone lines for patients

Front 2

What are four types of medical information that is to never be sent over a fax

Back 2

STDs, drug or alcohol treatment, hiv or aids status, psychological records

Front 3

What are four reasons for documentation in a healthcare facility

Back 3

avoidance of denied or delayed payments, supporting procedure and diagnostic codes, subpoena of records by state or court, defense of a liability

Front 4

An External Audit Point System is used to evaluate the proper use of diagnosis codes, and will show deficiencies in documentation

Back 4

True

Front 5

A patient's social history would include the Chief Complaint, and refers to current activities that they participate in

Back 5

False

Front 6

An edit check is a process in which computer software ensures that proper medical terminology is being used on documents

Back 6

False

Front 7

If a written authorization is not obtained from the patient to release medical records, a physician can be charged with Breach of Authoirzation

Back 7

False

Front 8

Attending physician

Back 8

medical staff member who is legally responsible for the care and treatment

Front 9

Consulting physician

Back 9

provider whose opinion or advice regarding evaluation and or management of a problem is requested by another physician

Front 10

Ordering physician

Back 10

Individual directing the selection, preparation or administration of tests, medication or treatment

Front 11

Referring physician

Back 11

Provider who sends the patient for test or treatment

Front 12

What is considered a closed file

Back 12

deceased person

Front 13

An inventory of body systems obtained through questions that identifies signs and symptoms is

Back 13

Review of systems

Front 14

Describe concurrent care

Back 14

Providing of similar services to the same patient by more than one physician on the same day

Front 15

Describe referral

Back 15

transfer of the total or specific care of a patient from one physician to another for known problems

Front 16

Describe critical care

Back 16

intensive care provider in a variety of acute life threatening conditions that require full attention by the physician

Front 17

The Development of Health and Human services developed a Compliance program for documentation that consists of

Back 17

Uniformity, consistency, coonformity

Front 18

Describe Retrospective Review

Back 18

Determines whether there is lack of documentation

Front 19

Medical records are legal documents and should be retained for what period of time

Back 19

7-10 years or indefinitely

Front 20

A fat cell is a

Back 20

lipocyte

Front 21

The half moon shaped white area at the base of the nail is called the

Back 21

lunula

Front 22

A structural protein found in skin and connective tissue is

Back 22

Collagen

Front 23

The outer most layer of the epidermis consisting of flattened keratonized cells is

Back 23

Stratum corneum

Front 24

The middle layer of the skin is the coreum or

Back 24

Dermis

Front 25

A hard protein material found in epidermis hair and nail is

Back 25

Keratin

Front 26

Two skin tests for allergies are

Back 26

Patch and scratch

Front 27

A surgical procedure to core out a disk of skin for microscopic analysis is

Back 27

punch biopsy

Front 28

The outermost layer of skin Epi

Back 28

dermis

Front 29

Profuse sweating Dia

Back 29

phoresis

Front 30

Burning sensation in the skin Causa

Back 30

algia

Front 31

abnormal condition of lack of sweat is An

Back 31

hidrosis

Front 32

abnormal condition of dry scaly skin -osis

Back 32

Ichthy

Front 33

loosening of the epidermis Epidermal

Back 33

olysis

Front 34

yellow tumore(nodule under the skin) -oma

Back 34

Xanth

Front 35

under the nail Sub

Back 35

ungual

Front 36

contagious parasitic infection with intense pruritis Sc

Back 36

abies

Front 37

White patches on mucous membrane of tongue or cheek Leuko

Back 37

plakia

Front 38

Characterized by a rash Ex

Back 38

anthemtous

Front 39

Colored pigmentation of skin N

Back 39

evus

Front 40

Large blisters B

Back 40

ullae

Front 41

Chicken pox V

Back 41

aricella

Front 42

Sac of fluid and hair over the sacral region on the back P

Back 42

ilonidal cyst

Front 43

Itching

Back 43

pruritis

Front 44

loss of pigmentation in skin

Back 44

Albinism