Author Question: When asked to explain how review of systems differs from physical exam, you explain that the review ... (Read 128 times)

LaDunn

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When asked to explain how review of systems differs from physical exam, you explain that
  the review of systems is used to document
 A. objective symptoms observed by the physician.
  B. past and current activities, such as smoking and drinking habits.
  C. a chronological description of patient's present condition from time of onset to present.
  D. subjective symptoms that the patient may have forgotten to mention or that may have seemed
  unimportant.

Question 2

Because the diagnosis and procedure codes reported affect the DRG selected (and resultant payment), some hospitals engage in a practice called __________, which is the assignment of an ICD-10-CM diagnosis code that does not match patient record documentation, for the purpose of illegally increasing reimbursement.
 a. downcoding
  b. jamming
  c. unbundling
  d. upcoding



jesse.fleming

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Answer to Question 1

D Objective symptoms observed by the physician refers to the physical exam. Past and
current activities, such as smoking and drinking habits refers to the social history. A
chronological description of patient's present condition from time of onset to present refers
to the history of present illness.

Answer to Question 2

d



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