To Be Able to Effectively Code a Medical Record for a Hospital

question 30

True/False

To be able to effectively code a medical record for a hospital stay or visit to a facility, the entries must be complete and contain sufficient information to identify the patient; support the diagnosis and condition; justify the care, treatment and services; document the course and results of care, treatment, and services; and promote continuity of care among providers.

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Definitions:

Consequential Damages

Losses incurred as an indirect result of an event, such as lost profits or revenues, that go beyond the direct physical damage or loss.

Personal Injuries

Physical or emotional harm caused to an individual, often leading to legal claims for compensation.

Special Property Interest

A specific legal right or claim one has in property, distinguishing it from general ownership interests.

Identified Goods

In a sales transaction, goods that are specified and agreed upon by both the buyer and seller at the time a contract is entered into.