The assignment of codes is based on patient record documentation by any physician involved in the care and treatment of an inpatient. However, if documentation by two or more physicians conflicts, the coder should generate a __________ to the attending physician.
a. claims submission
b. letter of appeal
c. physician query
d. remittance advice
Question 2
Codes may be assigned for inpatient care if they are based on other physician documentation in the patient record as long as there is no conflicting documentation from the __________.
a. attending physician
b. intern or resident
c. primary care nurse
d. utilization manager
Taking a Patient’s Temperature with a Tympanic Thermometer
A patient with exophthalmos.
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TEEMID - Golden Record