A coder who fully captures all of the diagnoses and procedures documented by the physician for a particular encounter has met the quality criteria of:
A. reliability.
B. validity.
C. completeness.
D. timeliness.
Question 2
The health record is:
A. the principal repository or storage medium for patient health information.
B. the platform for the electronic collection, storage, and analysis of private patient health information.
C. a clinical database with a patient-specific financial information.
D. the mechanism to which an organization is able to store and retrieve diagnoses and procedure information from databanks.
A sample prescription written by a physician.
All messages must be documented and placed in the patient's chart.
Procedures for Diagnostic Tests Related to the Musculoskeletal system
Procedures and Diagnostic Tests Related to the Female Reproductive System
Prophylactic Antibiotic Regimens for Oral and Dental Procedures
The physician orders pemetrexed (Alimta) 500 mg/m2. The client’s body surface area is 2.14 ...