The physician decides that that the patient needs blood and urine tests. She will document this under the _______ of action section in the SOAP format.
Fill in the blank(s) with the appropriate word(s).
plan
The P, or plan of action, section of the SOAP format is where the physician's recommendations for treatment or testing are recorded.
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Medicaid patients enrolled in managed care plans must select a primary care provider
Indicate whether this statement is true or false.
Based on the following documentation in an acute care record, where would you expect this
excerpt to appear? "Initially the patient was admitted to the medical unit to evaluate the x-ray findings and the rub. He was started on Levaquin 500 mg initially and then 250 mg daily. The patient was hydrated with IV fluids and remained afebrile. Serial cardiac enzymes were done. The rub, chest pain, and shortness of breath resolved. EKGs remained unchanged. Patient will be discharged and followed as an outpatient." A. discharge summary B. physical exam C. admission note D. clinical laboratory report
Which of the following coding certification credentials is not offered by the American Health Information Management Association (AHIMA)?
A. CPC (Certified Professional Coder) B. CCA (Certified Coding Associate) C. CCS (Certified Coding Specialist) D. CCS-P (Certified Coding Specialist-Physician-based)
You arrive at the scene of a 56 year old man who is not breathing. Your initial assessment reveals that the patient is pulseless and apneic. The patient's wife tells you that her husband suddenly grabbed his chest and then passed out. After successfully resuscitating the patient, you provide immediate transport. While en route to the hospital, the patient goes back into cardiac arrest. Your next step should be
A. tell your partner to stop the ambulance. B. Begin CPR and proceed to the hospital C. contact medical control for further advice. D. analyze the patient's rhythm with the AED.