Ms RHIT Is Analyzing and Assembling a Patient's Record and Notices

question 108

Multiple Choice

Ms. RHIT is analyzing and assembling a patient's record and notices that a copy of a history and physical from the attending physician's office was used in the record instead of an inpatient history and physical. The office H&P was completed on January 2 (this year) , and the patient was admitted to the hospital on January 5 (this year) ; the office H&P was placed on the record at the time of admission. According to Medicare CoP regulations, the office H&P is

• A) acceptable, as the H&P for this admission because it was placed on the record within 24 hours.
• B) acceptable, as the H&P for this admission because it was completed no more than seven days prior to admission
• C) unacceptable because only a newly documented inpatient H&P is acceptable
• D) unacceptable because the office H&P was not completed within 24 hours prior to admission.