Author Question: All of the following statements are true of the patient health record EXCEPT: A) medical bills ... (Read 18 times)

mckennatimberlake · **on:** Jul 12, 2018

All of the following statements are true of the patient health record EXCEPT:

A) medical bills will not be paid if the patient record does not contain necessary documentation.
B) it provides information about the patient's health history.
C) it is the primary communication document for those who care for the patient.
D) it provides information about the patient's treatment.
E) it is not used for billing and reimbursement.

Question 2

Provide two examples of types of clinical data in a patient's chart.

What will be an ideal response?

firehawk60 · **Reply #1 on:** Jul 12, 2018

Answer to Question 1

E

Answer to Question 2

Any two of the following: SOAP note, doctor's notes, admission or discharge summary, nursing notes, orders, lab results, radiology reports, patient history, problem list, medications list (or any specific items such as vital signs).