If the principal diagnosis documented at the time of discharge is qualified with words such as probable, suspected, likely, questionable, possible, or still to be ruled out, code the __________
a. diagnosis as if it existed or was established
b. initial therapeutic approach that corresponds to the diagnosis
c. observation care provided to the hospital inpatient
d. signs or symptoms only, and do not code the qualified diagnosis
a
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Which of the following terms is applied when more than one policy covers an individual?
a. Coordination of benefits b. Co-insurance c. Co-pay d. Deductible e. Birthday rule
Mary Smith was reviewing her medical records when she noticed that she had a diagnosis for breast cancer. Mary has a sister who was diagnosed with breast cancer, but she herself was not. What action should she take?
A. Do nothing; it doesn't matter. B. Hire a lawyer and sue the doctor. C. Ask for an amendment of her medical record. D. Tell her physician she is wrong.
To promote uniformity among state laws related to the practice of veterinary medicine, the American Veterinary Medical Association developed __________________________________
A) a model act B) ?the veterinary medical database C) an educational program for members of Congress D) ?a nationwide network of lobbyists, each of whom reports directly to the AVMA
The SOAP format of charting is commonly used with which of the following formats?
A) POMR B) PPMR C) SOMR D) SPMR