Hospital: Documentation, Billing And Charting! Trivia Knowledge Quiz

The minimum number of elements of the PFSH that need to be documented on every chart is 2. This means that at least two elements from the Past Medical, Family History, and Social History sections should be documented for every patient.

The level 5 chart refers to a specific type of chart in a certain context. In this context, the minimum number of elements of the ROS (Review of Systems) that need to be documented is 10. This means that in order to complete the level 5 chart, all 10 elements of the ROS must be documented.

The correct answer is "Patient Seen; HPI, ROS, PFSH and PE are complete; All orders including labs, x-rays, CT's and sonograms are returned." This option provides the most comprehensive description of the MD Doc Status numbers, indicating that all necessary assessments and orders have been completed and returned.

The correct answer describes "supportive care" as temporarily supporting the injury with splints, but the patient will still need follow-up care with an orthopedist for restorative care. This means that while the splints provide temporary support, they do not fully restore function and additional care is needed to fully treat the injury.

The correct answer is in reference to splints - implies we have repaired the injury and have provided definitive care, the patient does not need follow up with an orthopedist. This answer best describes "restorative care" in the context of splints. It suggests that the injury has been repaired and definitive care has been provided, indicating that the patient's condition has been restored and there is no need for further follow-up with an orthopedist.

For a level 4 chart, the minimum number of elements of the PE that need to be documented is 5. This means that at least 5 elements of the Process Engine (PE) need to be documented in order to create a level 4 chart.

For a level 5 chart, the minimum number of elements of the PE that need to be documented is 8.

For a level 4 chart, the minimum number of elements of the HPI that need to be documented is 5. This means that at least 5 different aspects or components of the History of Present Illness must be recorded in the chart.

B and D are the correct answers. We administer medications and IV fluids to non-critical patients all the time and a 6-month-old with a fever is not always critical, frequently it is a viral infection and the patient is sent home and advised to take Tylenol or Motrin.

The correct answer is Hemodynamic Insufficiency, Administering Cardizem for AFIB, Cardio Pulmonary Arrest with successful resuscitation, Acute Severe Pediatric Asthma. These indicators are all situations where critical care time may be necessary. Hemodynamic insufficiency refers to a condition where the heart is unable to pump enough blood to meet the body's needs, requiring immediate intervention. Administering Cardizem for AFIB is a treatment for atrial fibrillation, a potentially life-threatening arrhythmia that may require critical care. Cardio Pulmonary Arrest with successful resuscitation is a situation where the patient experienced a cardiac arrest but was successfully revived, often requiring ongoing critical care. Acute Severe Pediatric Asthma is a severe respiratory condition in children that may require critical care interventions.

For a level 4 chart, the minimum number of elements of the ROS that need to be documented is 3. This means that at least 3 elements of the Review of Systems (ROS) need to be documented in the chart for it to meet the requirements of a level 4 chart.

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A level 5 chart in HPI (History of Present Illness) represents a comprehensive documentation of the patient's medical history, including symptoms, duration, severity, and associated factors. To ensure a thorough assessment, a minimum of 5 elements of the HPI need to be documented. This indicates that the healthcare provider must gather and record information about at least 5 relevant aspects of the patient's illness to meet the requirements of a level 5 chart.