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Section 1I. Clinical Competency (59%)Preview
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Summary
This section covers I. Clinical Competency (59%). Accurate blood pressure measurement relies on appropriate technique and equipment. It covers accurately assessing a patient's pulse rate and rhythm. Calculate BMI using appropriate formulas and units. Across the section, identify the trigger fact before applying the specific rule or procedure tested.
Key Points
Proper blood pressure measurement necessitates a correctly sized cuff, consistent patient positioning, and a standardized technique
Common Mistakes
Incorrect Cuff Size vs. Consistent Positioning: An incorrectly sized cuff can distort readings, while inconsistent positioning introduces variability regardless of cuff size
Exam Tips
Recheck and Document: Always recheck unexpected readings and meticulously document the actual result, including any corrective actions taken
Section 2II. General (21%)Preview
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Summary
This section covers II. General (21%). It covers protecting confidential patient information by controlling access, communication, and disclosure practices. It covers fulfilling patient requests for access to their Protected Health Information (PHI) while adhering to HIPAA regulations. It covers validating the authorization to release Protected Health Information (PHI) according to HIPAA regulations. Across the section, identify the trigger fact before applying the specific rule or procedure tested.
Key Points
Permitted Use and Disclosure of PHI: Access and sharing of PHI must align with authorized job functions and permitted purposes, as defined by HIPAA
Common Mistakes
Casual Discussion vs. Authorized Communication: Uncontrolled public discussion of PHI is a violation, while authorized communication within defined roles is permissible
Exam Tips
Focus on the specific context of the scenario. The rules governing PHI access and disclosure depend heavily on the situation
Section 3III. Administrative (20%)Preview
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Summary
This section covers III. Administrative (20%). It covers correctly selecting CPT and ICD-10-CM codes based on the provided health record. HCPCS Level II primarily identifies products, supplies, and services not included in CPT. It covers applying coding modifiers accurately. Across the section, identify the trigger fact before applying the specific rule or procedure tested.
Key Points
CPT codes identify medical services and procedures
Common Mistakes
CPT codes represent *services*, while ICD-10-CM codes represent *diagnoses* or the reason for the encounter
Exam Tips
Thoroughly review the health record documentation for all relevant details
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