If Documentation in the Assessment Segment of the Patient Record

question 87

True/False

If documentation in the assessment segment of the patient record uses terms such as "probable," "questionable," "rule out," or "suspected," these terms must be coded.

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Definitions:

Quantitative Research

Research that collects and analyzes numerical data to understand patterns, relationships, or effects.

Standardized Measures

Tools or tests that have been rigorously evaluated for reliability and validity and are administered in a consistent manner across different participants or contexts.

Mixed Method Approach

A research approach that combines quantitative and qualitative methods to gain a better understanding of research questions or problems than using either method alone.

Reliability

The consistency and dependability of a measurement, test, or result when repeated under the same conditions.