Video: 4 qib keeb kwm hauv E&M coding yog dab tsi?
2024 Tus sau: Michael Samuels | [email protected]. Kawg hloov kho: 2023-12-16 01:44
Thawj qhov kev tsis txaus siab (CC); keeb kwm ntawm tus mob tam sim no (HPI); kev tshuaj xyuas cov tshuab (ROS); thiab yav dhau los, tsev neeg thiab / lossis kev sib raug zoo keeb kwm (PFSH) yog cov plaub cov khoom ntawm tus neeg mob keeb kwm raws li xav tau los ntawm E/M cov ntaub ntawv txheej txheem. Thawj qhov tsis txaus siab: CC feem ntau yog tus neeg mob qhov laj thawj tau hais tseg rau qhov ntsib.
Kuj kom paub yog, dab tsi yog 4 theem ntawm keeb kwm hauv E&M coding?
Cov plaub lees paub theem keeb kwm yog cov teeb meem tsom, nthuav qhov teeb meem-focused, ncauj lus kom ntxaws, thiab qhia. Tus naj npawb ntawm cov ntsiab lus teev tseg hauv daim ntawv qhia kev nce qib txiav txim siab qib xaiv.
Tsis tas li, thaum ua tiav cov keeb kwm ntxaws pes tsawg lub tshuab xav tau los tshuaj xyuas? Cov Xav paub ntxiv txog keeb kwm yog qib thib ob siab tshaj plaws ntawm keeb kwm thiab yuav tsum muaj qhov kev tsis txaus siab tseem ceeb, qhov txuas ntxiv HPI (plaub HPI ntsiab lus LOSSIS cov xwm txheej ntawm peb qhov teeb meem ntev lossis tsis ua haujlwm - yog tias siv 1997 E / M cov lus qhia), ntxiv rau OB rau NINE ROS, ntxiv rau yam tsawg kawg ib qho tseem ceeb ntawm PFSH.
Xav txog qhov no, 4 qib keeb kwm yog dab tsi?
Cov txheej txheem E/M lees paub plaub “ qib ntawm keeb kwm Ntawm kev nce zuj zus ntxiv qhov nyuaj thiab nthuav dav: Teeb meem tsom mus. Nthuav teeb meem nthuav dav. Xav paub ntau ntxiv.
Cov keeb kwm yog tsim los ntawm plaub lub tsev thaiv:
- Chief Complaint.
- Keeb Kwm Ntawm Kev Mob Nkeeg Tam Sim No.
- Kev tshuaj xyuas Systems.
- Kev Kho Mob Yav Dhau Los, Tsev Neeg thiab Keeb Kwm Neeg.
Koj ua tus lej EM li cas?
Ib txoj hauv kev los pab koj suav qhov raug E / M kev pabcuam qib thiab code yog sau cov ntawv H, E , M (H = Keeb kwm, E = Exam, M = MDM), thiab - raws li koj nyeem E / M cov lus nug hauv qhov kev xeem - kos lub qib ntawm txhua qhov tseem ceeb.
Pom zoo:
Dab tsi yog daim ntawv qhia keeb kwm keeb kwm?
Ib daim ntawv qhia keeb kwm keeb kwm piav qhia cov ntaub so ntswg uas tau xa mus rau kev tshuaj xyuas thiab cov yam ntxwv ntawm yam mob qog noj ntshav zoo li cas hauv qab tsom iav. Ib daim ntawv qhia keeb kwm keeb kwm qee zaum hu ua daim ntawv txheeb xyuas keeb kwm lossis daim ntawv qhia txog kab mob
Dab tsi yog kev tshawb fawb kws tshawb fawb txog keeb kwm keeb kwm los kwv yees lub sijhawm tuag piav qhia vim li cas kev kwv yees tsis tas yuav ncaj?
Ib tus kws tshawb fawb kws tshawb fawb txog keeb kwm tshawb fawb kev txhim kho kab ntawm kab hauv lub cev los kwv yees lub sijhawm tuag. Cov kev txiav txim siab no tsis yog qhov yooj yim ib txwm vim tias tus nqi ntawm cov kab menyuam loj hlob tau cuam tshuam los ntawm ib puag ncig cuam tshuam xws li thaj chaw nyob, huab cua, thiab huab cua puag ncig
Leej twg tshawb pom keeb kwm keeb kwm?
Hanstein Ib sab ntawm qhov no, leej twg tau thov apical cell theory? Kev tshawb xav ntawm cell apical yog npaj siab los ntawm Hofmeister nyob rau xyoo 1857 thiab txhawb los ntawm Karl Wilhelm Von Nageli xyoo 1878. Raws li lawv muaj ib lub pyramidal nkaus xwb ntawm tes hauv kev tua apex ntawm feem ntau vascular cryptogams lossis ib leeg apical cev yog lub luag haujlwm rau kev tsim tua thiab kev loj hlob txuas ntxiv ntawm cov nroj tsuag.
Dab tsi yog lub luag haujlwm ntawm tus kws tshawb fawb keeb kwm keeb kwm anthropologist?
Txoj haujlwm ntawm kws tshuaj xyuas keeb kwm keeb kwm yav dhau los ua haujlwm hauv thaj chaw feem ntau suav nrog: Ua tib neeg seem. Ntxuav cov skeletal seem. Tshawb xyuas cov seem decomposed rau cov cim ntawm kev raug mob. Muab cov ntaub ntawv lom neeg txog cov seem. Sau cov ntawv ceeb toom. Ua haujlwm ze nrog cov neeg tshawb nrhiav thiab cov neeg sawv cev tshwj xeeb. Muab pov thawj hauv tsev hais plaub
Lub hom phiaj ntawm kev teeb tsa hauv keeb kwm keeb kwm yog dab tsi?
Kev sib sau yog txheej txheem uas cov ntaub so ntswg lossis cov hnoos qeev tau ntim rau hauv qhov hnyav ntawm qhov nruab nrab siv cov pwm. Txij li cov ntaub so ntswg thaiv tau tuab heev lawv xav tau kev txhawb nqa nruab nrab uas cov ntaub thaiv npog tau muab tso rau. Qhov nruab nrab txhawb nqa no yog hu ua txheej nruab nrab