Which of the following best reflects ordering diagnostic data? ...

[KimWrice]

Which of the following best reflects ordering diagnostic data?
 
  a. The physician's review of the results of any diagnostic service intended to assist in diagnosing the patient's presenting problem
  b. The ordering, planning, or scheduling of any diagnostic service intended to assist in diagnosing the patient's presenting problem
  c. Requesting or obtaining the patient's old medical records
  d. Discussion of the results of a diagnostic test with the physician who performed that specific diagnostic test

Question 2

What should the medical coder do if any confusion remains about the data to be reviewed?
 
  a. Make an assumption about what the performing physician did.
  b. Ask the physician who performed the E/M service visit to clarify the documentation.
  c. Do research online to fill in the blanks left by the documentation.
  d. Call and ask the patient to tell what happened during the E/M service visit.

[frejo]

Answer to Question 1

b) The ordering, planning, or scheduling of any diagnostic service intended to inform the performing physician in the determination of diagnosing the patient's presenting problem

Answer to Question 2

b) Ask the physician who performed the E/M service visit to clarify the documentation.