Question 1
Which of the following is a primary source document for coders?
◦ Progress note
◦ Operative report
◦ Physician order
◦ Consultation report
Question 2
Which of the following is an example of a consultation?
◦ The patient seeks a second surgical opinion because he/she is unsure about the need for a coronary bypass.
◦ The attending physician discusses discharge plans with a patient.
◦ The primary care physician requests that a cardiologist examine a patient due to complaints of chest pain.
◦ The primary care physician sees a patient for follow-up on laboratory tests.
