Which of the following phrases BEST completes this sentence: When the documentation is reviewed using the general multisystem physical examination evidentiary checklist,:
A. it reflects the severity of the patient's pathology and the risk posed to the patient.
B. it is an indication that the 1995 physical examination may not provide enough detail to properly reflect the documented physical examination.
C. it is an indication that the physician is specialist.
D. it was documented incorrectly and the physician should be queried.
Question 2
During the physical examination, what does orientation to place indicate?
A. The patient's ability to appropriately identify the current date, month, year
B. The patient's neurologic reaction of the toes and soles of the feet when the bottoms of the feet are stroked
C. The patient's ability to appropriate identification of oneself and the known nearby people
D. The patient's ability to appropriately identify the place in which a person finds him- or herself
Example of variance documentation
Inflated Phrases Compared with Concise Terms
Inflated Phrases Compared with Concise Terms Cont
Handwritten documentation.
Compare the Final Code with the Documentation
Phrases that Decrease Customer Service Level