The Subjective, Objective, Assessment Plan (SOAP) came from the:

a) Source-oriented health record
b) Problem-oriented health record
c) Hybrid health record
d) Depends on facility policy


B). Problem-oriented health record

Health Professions

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Place a check mark in front of each of the following CPT code(s) that should not be appended with a LT (left) or RT (right) HCPCS Level II modifier.

1.___ 27816 Closed treatment of trimalleolar ankle fracture; without manipulation 2.___ 28150 Phalangectomy, toe, each toe (Need to append TA-T9 for toe specific HCPCS Level II Modifiers.) 3. ___ 11400 Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms, or legs; excised diameter 0.5 cm or less (LT and RT modifiers are not appropriate on excision of lesion codes.) 4. ___ 19000 Puncture aspiration of cyst of breast 5. ____ 71060 Bronchography, bilateral, radiological supervision and interpretation (Description in CPT code states “bilateral”; therefore, use of LT or RT is not appropriate.) 6. ___ 58770 Salpingostomy

Health Professions

One factor used to determine if the Safe Haven law applies is the capacity of the parents to provide a safe home and adequate food, clothing, and medical care

a. True b. False

Health Professions

Who has the ultimate authority and responsibility for operation of the hospital?

A. Physicians B. CEO C. Board of Directors

Health Professions

Removal of the eyeball is termed:

A) orbectomy B) blepharectomy C) enucleation D) biopsy

Health Professions