0
What else can I help you with?
Who documented HPI in the medical record?
The HPI may be documented by the medical assistant or nurse, and then confirmed and refined by the clinician.
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
How is evolution documented?
Evolution is documented in both realtime experimental and observational data, as well as in the fossil and genomic record.
What is a note that is added to the record after an original note has been documented?
A postscript.
What are the importance of medical record keeping?
The importance of medical record keeping is keeping a treatment record of a patient that allows medical professionals to know the patient's past
What is the medical term meaning record of the eardrum?
Tympanogram is the medical term for a record of the eardrum.
You work for medical record review how do you handle wrong medical codes?
If we identify wrong medical codes during a medical record review, we follow a careful and compliant process to ensure accuracy: Verify the Error – We cross-check the code against the medical documentation to confirm the discrepancy. Document the Issue – The incorrect code is noted clearly in the review summary with supporting evidence. Clarify with Providers if Needed – If clarification is required, we communicate with the medical provider (if authorized). Recommend Corrections – We suggest the appropriate codes based on the documented diagnosis or procedure. At LezdotechMed, accuracy in coding is critical. Correcting these errors not only ensures proper billing and reimbursement but also strengthens the legal and medical value of the record.
What is the medical term meaning RECORD of the LUNG?
A pneumogram is the medical term meaning record of the lung.
Why should a recording in the medical record never be erased or abliterated?
The medical record is a legal document.
What is the medical term meaning record of a breast?
Mammogram is the medical term meaning record of a breast.
A medical record is an example of?
A person's (patient) medical record is the history of what medical illnesses and the medicine prescribed the person received to date.
For the court's purpose if documentation does not appear in the medical record?
For the court's purpose, if documentation does not appear in the medical record
