Which of the following best defines workup?
a. Documentation of any ordered or requested diagnostic testing to identify the final diagnosis
b. Documentation that reflects the physician's familiarity or unfamiliarity with the patient's presenting problem
c. Documentation of any existing or initiated method of treatment, care, or management of the presenting problem; could range from getting a little rest, to having an invasive medical procedure
d. Documentation of the patient's willingness or reluctance to participate in the E/M service visit
Question 2
Which of the following best defines management options?
a. Documentation that reflects the physician's familiarity or unfamiliarity with the patient's presenting problem
b. Documentation of any existing or initiated method of treatment, care, or management of the presenting problem; could range from getting a little rest, to having an invasive medical procedure
c. Documentation of any ordered or requested diagnostic testing to identify the final diagnosis
d. Documentation of the clinical tools used during the physical examination
Intimate partner violence documentation form. (
Methods to Document Peripheral Pulses A. Stick Figure Peripheral Pulse Documentation B. Tabular Peri
Release of ordered water favors formation of an enzyme-substrate complex
Example of variance documentation
Handwritten documentation.
Compare the Final Code with the Documentation