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Which type of document is used as a reference to obtain medical or financial information?
source
Is a superbill part of the patient medical record?
No, the superbill is a financial document. CMS specifically states, "Superbills (i.e. encounter forms) are not a part of the medical record.
What is the definition of a medical chart?
A medical chart is a confidential document that contains detailed and comprehensive information on an individual and the care experience related to that person.
What Basic information do you need to document on a patients medical records during an ocular emergency?
name and identification
What basic information is needed to document on a patients medical records during an ocular emergency?
name and id
What is voluntary disclosure?
"Disclosure" is to reveal information, "Voluntary Disclosure" is to give permission for that information to be revealed, such as allowing your doctor to reveal your medical records to your medical insurance company, or allowing your bank to reveal your financial information to a lending company.
When was Dorland's medical reference works created?
Dorland's medical reference works was created in 1890.
What is a Registered Records Administrator?
It is in reference to Medical Records. You must receive and education to be certified as a Health Information Manager or Registered Health Information Technician (RHIT).
What is the medical term meaning position above the point of reference?
Something above the point of reference in medical terms is called "superior."
What are three functions of a medical record?
1. To document the results of treatment and the patient's progress. 2. Provides an efficient and effective method by which information can be communicated to authorized. 3. Serves as a legal document.
What is three (3) categories of information.?
Personal information: Includes details about an individual such as name, address, and contact information. Financial information: Consists of data related to an individual's income, assets, debts, and financial transactions. Health information: Involves details about an individual’s medical history, conditions, treatments, and healthcare services received.
Which electronic drug information source contains information on laboratory tests infectious disease and drug indentification as well as medical dictionary?
B. Lexi-Comp's Clinical Reference Library.
