Underlying diseases or other conditions present at the time of the visit
Question 2
2.5 out of 2.5 points
When each entry in the medical record is worded similar to the previous entries, it is a _____
documentation.
Selected Answer:
cloned
Question 3
0 out of 2.5 points
An advantage of using electronic medical records is
Selected Answer:
increased confidentiality and security.
Question 4
2.5 out of 2.5 points
A concise statement describing the symptom, problem, condition, diagnosis, physician-recommended
return, or other factor that is the reason for the encounter is abbreviated as
Selected Answer:
CC.
Question 5
This study source was downloaded by 100000888893651 from CourseHero.com on 09-12-2024 20:24:49 GMT -05:00
When a discussion takes place with a patient concerning the risks and benefits of treatment options, it is
considered
Selected Answer:
counseling.
Question 6
2.5 out of 2.5 points
How should an entry in a patient's electronic medical record be corrected?
Selected Answer:
Input a note in the section with an error, enter correct data with details of why the correction is
necessary, and authenticate with electronic signature, date, and time.
Question 7
2.5 out of 2.5 points
The SOAP in patient medical record charting may be defined as
Selected Answer:
S-subjective, O-objective, A-assessment, P-plan.
Question 8
2.5 out of 2.5 points
The key components that determine an evaluation and management code are documented by the
Selected Answer:
physician.
Question 9
2.5 out of 2.5 points
This study source was downloaded by 100000888893651 from CourseHero.com on 09-12-2024 20:24:49 GMT -05:00
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