Author Question: The health care providers at your hospital do a very thorough job of periodic open record review to ... (Read 141 times)

burchfield96 · **on:** Jun 27, 2018

The health care providers at your hospital do a very thorough job of periodic open record review
to ensure the completeness of record documentation. A qualitative review of surgical records
would likely include checking for documentation regarding
A. the presence or absence of such items as preoperative and postoperative diagnosis, description
of findings, and specimens removed.
B. whether a postoperative infection occurred and how it was treated.
C. the quality of follow-up care.
D. whether the severity of illness and/or intensity of service warranted acute level care.

Question 2

One reason to track unpaid claims is due to the payment error in which a patient erroneously cashes a check made out to both patient and provider, which is called a __________.
a. combination check
b. credit check
c. third-party payer check
d. two-party check

SeanoH09 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

A Whether a postoperative infection occurred and how it was treated represents an
appropriate job for the infection control officer. The quality of follow-up care represents the
clinical care evaluation process, rather than the review of quality documentation. Whether
the severity of illness and/or intensity of service warranted acute level care is a function of
the utilization review program.

Answer to Question 2

d