CDEO Ch 1; Questions & Answers 100% Solved
What is the central focus of clinical documentation? Correct Answer-To
facilitate optimum patient care
The CDEO will review the findings of the auditor in order to: Correct AnswerPrevent deficient documentation
CDEO Ch 1; Questions & Answers 100% Solved
What is the central focus of clinical documentation? Correct Answer-To
facilitate optimum patient care
The CDEO will review the findings of the auditor in order to: Correct Answer-
Prevent deficient documentation
Which sources other than federal healthcare plans may request the medical
records? Correct Answer-Patients, Providers involved with the patient's care,
Employers for worker's compensation claims, Private Payers
In addition to facilitating high quality patient care, a properly documented
medical record verifies and documents precisely what services were actually
provided. Other than the site of service the medical record may be used to
validate: Correct Answer-The appropriateness of the services provided
A provider's best defense in any legal situation is: Correct Answer-Detailed,
well documented notes
To maintain an accurate medical record, what is the recommended appropriate
time for provider documentation? Correct Answer-During the encounter or
as soon as possible
Quality assurance of patient care is only evident if: Correct Answer-If it is
documented in the patient's medical record
True or False: Documentation reviews can be performed on a prospective basis.
Correct Answer-True
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