Written report explaining the background and current issues used to make the decision to admit the
patient into the hospital - History and Physical (H&P)
The ________ list pharmaceuticals and ________ that may cause poisoning or _______ and the human
body - Table of drugs and chemicals; chemical...
Chapters 1-3 Interactive: OST-248
Written report explaining the background and current issues used to make the decision to admit the
patient into the hospital - History and Physical (H&P)
The ________ list pharmaceuticals and ________ that may cause poisoning or _______ and the human
body - Table of drugs and chemicals; chemicals; adverse effects
The diagnosis codes that you report explained the justification for the procedure, service, or treatment
provided to a patient during his or her and counter - Medical necessity
Research organizations and government agencies statistically analyze the data provided by codes to
develop programs, identify research areas, allocate funds, and right public health policies that will best
to dress areas of concern for the health of our nation - Statistical analyses
third-party payers use our coding data to determine how much they should pay health care professionals
for the intension and services they provide patients - Reimbursement
Using the details from organize data, staff members, equipment, and money can be directed to those
patients and locations that need them most - Resource allocation
The __________ lists, in alphabetic order, terms used to describe the reason to why the patient required
attention from a health care professional - alphabetic index
You will find that the _________ section shows all ICD-10-CM codes, 1st an alphabetic order and then in
________ order: capital A00 through Z99.89 - Tabular list; numeric
The _________ itemizes all of the anatomical sites in the human body that may develop a neoplasm -
Neoplasm table
The index ______ lists the causes of ______ I'm poisoning that explain how a patient got injured and
______ the injury happened - External causes, injury, where
, Type of condition - Fracture femur, Cystitis, Tuberculosis
Type of Eponym - Abrami's disease, Ostrum-Furst syndrome, Lipschutz's
Type of "other" - Personal history of breast cancer. Encounter for routine health exam. After care
following kidney transplant.
conditions of cause - Viral encephalitis, tuberculosis infection, cerebrovascular accident 4 months
ago
Conditions of manifestation - Acute renal failure due to. Constrictive pericarditis developed from.
Right side hemiplegia after
Includes the patient's demographic information - Patient's registration form
Another physician or health care provider referred this patient for a consultation - Referral
authorization form
Written documentation of what occurred during the encounter between physician and patient, also
known as clinical documentation - Physicians notes / operative reports
results of testing performed on blood, tissue, and other specimens - pathology and laboratory
reports
Written reports containing professional interpretations of images taken of the patient - Imaging
reports
Record of every time medication is administered to a patient - Medication logs
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