Why is documentation important?

What will be an ideal response?


Answer: An unwritten rule states that if a service or procedure is not documented, it was not performed. Therefore, no payment can be made on the claim. Complete and accurate documentation is critical to support the medical necessity of services provided.

Health Professions

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_______________is reduced blood supply to tissue, which may be a result of obstruction within the blood vessels or external pressure, which acts as a tourniquet

A. Ischemia C. Mediastinum B. Infarction D. Stenosis

Health Professions

Which of the following is TRUE with regards to Early Childhood Caries (ECC)?

A) Bottle feeding with juice is not a significant cause of ECC in children under 2 years old. B) The first line of defense against ECC is eliminating saliva-sharing activities such as sharing utensils or cups. C) ECC is not considered a major public health problem because rates are decreasing in the US. D) All are correct.

Health Professions

Dr. Handley prefers to see the Facesheet of her patients in a particular order. Dr. Adams prefers to see his in another order. The software used in their office allows each provider to view screens in a different way. This is known as

A. consistency. B. customization. C. a data dictionary. D. a template.

Health Professions

A numeric filing system should be used when ________ of patient information is an issue.

Fill in the blank(s) with the appropriate word(s).

Health Professions