Review the Charting Sample and Determine Which Documentation Error Occurred

question 11

Multiple Choice

Review the charting sample and determine which documentation error occurred. 1000: Hygienic care given
1100: Complaint of leg pain
1300: Appetite good,resting comfortably

• A) Recording on the wrong chart
• B) Failure to document an intervention
• C) Failure to document a discontinued medication
• D) Failure to record outcome of an intervention

Distinguish between transactions involving cash, credit, and account transfers.

Record transactions involving the provision of services for cash or on account.

Understand the structure and organization of the ICD-10 and ICD-9 coding systems.

Identify the proper use of ICD-10 code ranges for specific medical conditions and procedures.

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Definitions:

Home Visits

Scheduled visits made to the household by a professional or volunteer to provide guidance, care, education, or assessments tailored to the family's needs.

Open-ended Questions

Questions formulated to encourage a full, meaningful answer using the respondent's own knowledge and/or feelings.

LGBT Family

A family unit that includes members who identify as lesbian, gay, bisexual, or transgender.

Gender Identities

The various ways in which people identify themselves in relation to the concept of gender, beyond the binary norms of male and female.