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Will the medical record contain the method used to perform the test?
Wiki User
∙ 13y ago
It should for proper and accurate code selection. If in doubt or if the record is missing such information, the coder must query the physician for more details.
Wiki User
∙ 13y ago
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What do electronic medical records contain?
An electronic medical record (EMR) is a computerized medical record created in an organization that delivers care, such as a hospital or physician's office. Electronic medical records tend to be a part of a local stand-alone health information system that allows storage, retrieval and modification of records.
What are the importance of medical record keeping?
The importance of medical record keeping is keeping a treatment record of a patient that allows medical professionals to know the patient's past
What is the medical term meaning record of the eardrum?
Tympanogram is the medical term for a record of the eardrum.
You work for medical record review how do you handle wrong medical codes?
If the medical record naratted a wrong diagnosis it will reflect in doing medical coding
What is the medical term meaning RECORD of the LUNG?
A pneumogram is the medical term meaning record of the lung.
Why should a recording in the medical record never be erased or abliterated?
The medical record is a legal document.
What is the medical term meaning record of a breast?
Mammogram is the medical term meaning record of a breast.
A medical record is an example of?
A person's (patient) medical record is the history of what medical illnesses and the medicine prescribed the person received to date.
For the court's purpose if documentation does not appear in the medical record?
For the court's purpose, if documentation does not appear in the medical record
What does database record entry contain?
it can contain as many people as possible
What is the medical term meaning record of muscle electricity?
Medical term for record of electricity is electromyogram
What info is considered subjective in the medical record?
Medical history
