Describe the difference between an EHR nomenclature and a billing code set

What will be an ideal response?


The difference between an EHR nomenclature and a billing code set is the level of detail represented by the codes. EHR nomenclatures have codes to represent not o nly procedures and diseases, but also the symptoms, observations, history, medications, and myriad other details.

EHR nomenclatures contain cross references to other code sets ; billing codes sets do not.

Health Professions

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Last week, on a computer-generated report, you accidentally documented that a patient suffered from hypertension when, in fact, he did not. Unfortunately, the report has been locked by the computer and cannot be changed; however, it can be printed. Your first action would be to:

A) Retype the entire report and include the change B) Print the report and draw a line through the error C) Contact the hospital and have the staff there change the information in the patient's medical record D) Notify the medical director so that he or she can fix the error

Health Professions

Approximately how many patients with hemophilia B form an inhibitor?

a. <5% b. 10% c. 30% d. >35%

Health Professions

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What will be an ideal response?

Health Professions

Which of the following MOST accurately describes paradoxical movement of the chest wall?

A. multiple rib fractures that cause a marked deformity of the chest wall B. one side of the chest wall moves opposite the direction of the other C. a marked decrease in chest wall movement due to abdominal breathing D. only one section of the chest rises on inspiration while another area falls

Health Professions