Clinicians who learn how to code and document Evaluation and Management (E&M) and clinician services will be more successful in gaining timely payment for care delivery
Which or the following Centers for Medicare and Medicaid Services (CMS) practices are designed to financially penalize clinicians who do not bill according to CMS guidelines?
a. Audits and probes
b. Add-on codes
c. Modifier codes
d. HAC guidelines
ANS: A
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What nursing assessment should be reported immediately after an amniotomy?
a. Fetal heart rate is regular at 154 beats/min. b. Amniotic fluid is clear with flecks of vernix. c. Amniotic fluid is watery and pale green. d. Maternal temperature is 37.8 ° C.
After teaching a group of nursing students about cholinergic drugs, the instructor determines a need for additional teaching when the students identify which drug as being administered orally?
A) Ambenonium B) Bethanechol C) Pyridostigmine D) Edrophonium
Which statement(s) by the new graduate nurse indicates a need for further instruction about documentation? Select all that apply
1) "I can wait until the end of the shift to document my care." 2) "Charting every 2 hours is the most appropriate way to document nursing care." 3) "I find it easier to chart before I go to lunch, and then after my shift report." 4) "I should chart as soon as possible after nursing care is given."
A patient has sustained a right tibial fracture and has just had a cast applied. Which instruction should the nurse provide in relationship to his cast care?
A) Cover the cast with a blanket until the cast dries. B) Keep your right leg elevated above heart level. C) Use a knitting needle to scratch itches inside the cast. D) A foul smell from the cast is normal.