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38 Cards in this Set
- Front
- Back
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The government may have registration for something similar to PAs. For example in Zambia at Namwianga Mission PAs are called this.
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Medical Officer
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#1 cause of mortality in developing countries?
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Lower respiratory infections
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What is the #1 reason for return for medical reasons of Doctors Without Borders?
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Auto accidents
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How do you find out what medication is best for the area in turns of Malaria chemoprophylaxis?
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CDC
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Patients have the right to make their own decisions and choices concerning their health
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Autonomy
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PAs should act in the patient’s best interest.
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Beneficence
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To do no harm, to impose no unnecessary or unacceptable burden upon the patient.
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Nonmaleficence
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Patients in similar circumstances should receive similar care... The fair distribution of resources, risks, and costs.
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Justice
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A PA and supervising physician may discontinue their professional relationship with an established patient as long as these 3 proper procedures are followed.
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1) Provide the patient with adequate notice
2 Offer to transfer records 3)Arrange for continuity of care if the patient has an ongoing medical condition |
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Informed Consent includes providing the patient with the following (5).
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Nature of the medical condition
Objectives of the proposed treatment Treatment options Possible outcomes Risks involved |
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List 5 exceptions to patient confidentiality.
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Workers compensation
Communicable disease Knife/gunshot wounds Substance abuse Physical/Verbal abuse |
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In Arkansas, supervising physicians must review _____% of charts for the first ____ days of employment, then ____% of charts
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100%/120/10%
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What is the most important ethical principle in research?
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Honesty
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List the outside agencies that audit records for quality assessment for inpatients with Medicare? ...For outpatients with Medicare?
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- The Centers for Medicare and Medicaid Services’ (CMS’) Quality Improvement Organization (QIO)
- The Office of the Inspector General (OIG) |
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List the six categories of a patient history.
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-Chief Complaint (cc)
-History of Present Illness (HPI) -Past Medical History (PMH) -Personal History (PH) -Family History (FH) -Review of Systems (ROS) |
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OLDCARTS
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Onset
Location Duration Character Aggravating Relieving Time Severity |
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A complete H&P must be performed ASAP and at least ___ hours after admission.
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24 hours
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HCFA
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Health Care Financing Administration
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CPT
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Current Procedural Terminology
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ICD-9 CM
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International Classification of Disease, 9th Revision, Clinical Modification
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These codes describe what service you perform, and where you perform it.
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CPT
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For each CPT code, you need to record a symptom, diagnosis or complaint to establish the "medical necessity" of each service. Where do these numbers come from?
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ICD-9 CM
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A “new patient” is one that has never been seen in your practice, or has not been seen for at least ____ years.
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3 years
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All CPT E/M services have three parts.
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History
Physical Complexity of Medical Decision Making |
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What are the four types of visits based on the level of E/M services?
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Problem Focused
Expanded Problem Focused Detailed Comprehensive |
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CPT E/M Code:
straight forward problem about 10 minutes |
Level 2 Problem Focused
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CPT E/M Code:
15 minute visit with low decision making with moderate severity |
Level 3 Expanded Problem Focused
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CPT E/M Code:
25 minute visit with detailed H&P with moderate decision making and severity |
Level 4 Detailed
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CPT E/M Code:
40 minute visit with comprehensive H&P with high complexity and severity |
Level 5 Comprehensive
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CPT E/M Code:
5 minute conversation with nurse about a minimal problem |
Level 1
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CPT E/M Code:
4 HPI elements involving 8 systems and 1 element of personal history |
Level 4 Detailed
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CPT E/M Code:
4 HPI elements involving 10 systems and one item from family history and medical history |
Level 5 Comprehensive
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CPT E/M Code Physical Exam:
5 bullets |
Problem focused
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CPT E/M Code Physical Exam:
6 bullets |
Expanded problem focused
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CPT E/M Code Physical Exam:
2 bullets in six systems |
Detailed
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CPT E/M Code Physical Exam:
2 bullets in 9 systems |
Comprehensive
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Frequently, E/M services and problem based services can be combined using this 'modifier' in the code.
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-25
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All traumatic injury codes need an “__” code to support them.
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E
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