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What action should you take after speaking to the patient?

After speaking with a patient on the phone, the correspondence should be documented in the patient's chart.


What action to take after speaking with a patient?

All correspondence should be documented in the patient's chart after speaking with them.


If a code is not documented in medical records the medical assistant should never code a patient as having what?

a medical assistant should never code a patient as having what unless its is documented in medical record


If a patient states in group they were part of a murder in the past what should the counselor do?

Some states recognize a legal privilege as to communications between counselor and patient where psychotherapy is involved, but such a privilege probably would not apply to statements made in a group. If there's no privilege involved, the counselor is free to report the patient's statements to law enforcement if he sees fit to do so. However, the counselor is under no legal obligation to report the patient's statements to anyone. Your question, of course, is not what the counselor is legally allowed to do, but rather, what he or she should do. I think the decision must depend on the circumstances and that the counselor should put professional concerns in the forefront.


What CPT code would be used to code anterior packing is done to control the anterior nasal hemorrhage if patient has documented benign hypertension?

should be 30901


When assessing a patient you note a bruise on his chest on a prehospital patient care report this injury would be properly documented as?

The bruise on the patient's chest should be documented as "ecchymosis" in the prehospital patient care report. It's important to note the size, color, and location of the bruise, as well as any associated symptoms or mechanisms of injury. This documentation helps provide a clear understanding of the patient's condition and potential underlying issues. Always ensure to maintain an objective and factual tone when describing the injury.


What level of knowledge should users of financial statements have?

What level of knowledge should users of financial statements have?


Is intent in torts objective or subjective?

It can be both objective or subjective. Should have known, vs. Did know


What information is documented after giving an injection to a patient?

After administering an injection to a patient, the following information is typically documented: the date and time of the injection, the site of administration, the type of medication or vaccine given, the dosage, and any specific lot numbers or expiration dates if applicable. Additionally, any patient reactions or side effects observed during or after the injection should be recorded, along with the name of the healthcare professional who administered the injection. This documentation ensures accurate medical records and facilitates any necessary follow-up care.


What should you do if a patient presents and out of state check?

If a patient presents an out-of-state check, first verify its authenticity and ensure it’s from a legitimate financial institution. Check your facility's policies regarding accepting out-of-state checks, as they may require additional verification or a specific process. If accepted, ensure that the check is properly documented in the patient's records. If there are concerns about the check's validity or if your facility does not accept them, politely inform the patient and discuss alternative payment options.


How long should I keep brokerage statements for?

You should keep brokerage statements for at least seven years for tax and record-keeping purposes.


What are the following details should be documented in the patient record?

In a patient record, it's essential to document the patient's personal information (such as name, age, and contact details), medical history (including past illnesses, surgeries, and family health history), current medications, allergies, and vital signs. Additionally, the details of each encounter should include the reason for the visit, assessment findings, diagnosis, treatment plans, and any follow-up instructions. Accurate documentation ensures continuity of care and legal protection for both the patient and healthcare providers.