Author Question: Discuss the facility identification information that should be included on each report in the ... (Read 108 times)

cherise1989 · **on:** Jul 12, 2018

Discuss the facility identification information that should be included on each report in the record.

Question 2

Physician office records vary greatly. Discuss at least five physician office reports that are typically found in a physician office record.

paavo · **Reply #1 on:** Jul 12, 2018

Answer to Question 1

Facility identification, including the name of the facility, mailing address, and a telephone number, must also be included on each report in the record.

Answer to Question 2

The patient registration form documents demographic, administrative, and financial data. The problem list documents the patient's diseases, conditions, allergies, and procedures. The medication list documents medications, dosages, associated diagnosis, and name of the physician ordering the medications. The progress notes document the initial history and physical examination and all subsequent visits. The ancillary reports document reports of ancillary testing completed in the office or by outside laboratories.