Recording information in the medical record is called ____.
A. transcription
B. description
C. dictation
D. filing
E. documentation
E. documentationDocumentation is the process of recording information in the medical record.
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What is a mercantile occupancy?
A. Any building that is used to display or sell merchandise B. Buildings that provide a working place for large numbers of occupants in an office environment C. Occupancy in which people with physical limitations due to health or age are cared for or provided medical treatment D. Any building or portion of a building used for the purpose of education of six or more persons from preschool through the 12th grade
ICD-10-PCS codes replace the codes in:
A. ICD-9 Volume 1. B. ICD-9 Volume 2. C. ICD-9 Volume 3. D. CPT.
A patient with a chief complaint of severe abdominal pain is referred to a radiologist for an outpatient Gastrografin enema to rule out appendicitis. The radiologist performs the x-ray, and the results are normal. Which ICD-10-CM code is reported as the first-listed diagnosis?
a. K37 b. R10.0 c. R52 d. Z13.818
If the Office of E-Health Standards and Services finds noncompliance to the Transaction and Code Set Rule, they will expect to see a move toward compliance and improvement within
a. 20 days. c. 60 days. b. 30 days. d. 90 days.