Although anyone who comes into contact with a medical record is responsible for the accuracy of his or her own entry, who in the medical practice is ultimately responsible for proper documentation and correct coding?
A. physician
B. registered nurse
C. medical coder
D. payer representative
Answer: A
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Mensuration is the use of special tools to measure the body or specific parts. These special tools include all of the following EXCEPT ________
a. scissors b. scale c. tape measure d. calipers
Which specifically requires an individual's authorization prior to disclosure and for which HIPAA has established specific requirements for an authorization form?
a. covered entity data and information b. designated record set c. protected health information d. treatment, payment, and operations
The root operation of bypass is defined as the modifying of an anatomical structure of a body part without affecting the function of the body part
a. True b. False Indicate whether the statement is true or false
Bilateral tympanostomy under general anesthesia with insertion of tubes. Assign the CPT code(s)