FORDNEY CH. 4 HIGHLIGHTS| 20 QUESTIONS AND ANSWERS|GUARANTEED SUCCESS

What information do insurance carriers require in addition to the claim form and the key to obtaining appropriate reimbursement? documentation in the EHR substaniating procedure and diagnostic code selections consulting physician a provider whose opinion or advice regarding evaluation or management of a specific problem is requested by another physician ordering physician the individual int he hospital directing the selection, preparation, or administration of tests, medication, or treatment referring physician a provider who sends the patient for tests or treatment treating or performing physician the provider who renders a service to a patient what information must included in the documentation of lacerations that determines the code for the repair? the sum of the length in centimeters doing this provides physician with defense of a professional liability claim record a patient's failure to return for needed treatment by noting it in the health record, in the appointment book, and on the financial record or ledger card severity degree of symptom or pain on a scale from 1-10, can be described with terms such as severe, slight, and persistent duration how long the symptom has been present and how long it lasts when it occurs modifying factors things done to make the symptom better or worse associated signs and symptoms the symptom and other things that happen when the symptom occurs morbidity a diseased condition or state referral vs consultation to bill a consultation, the request for service and reason why must be made by another physician or provider and that he must keep the requesting physician informed of the outcome of the visit. Official American Hospital Association policy states that abbreviations should be totally eliminated from the more vital sections of the health record, such as final diagnosis, operative notes, discharge summaries, and descriptions of special procedures chronic a condition persisting over a long period of time RLQ right lower quadrant or right inguinal: parts of the small and large intestines, right ovary, right uterine fallopian tube, appendix, and right ureter simple lacerations are also referred to as superficial intermediate lacerations require layered closure of one or more of the deeper layers of the skin and tissues AHIMA advises that fax machines should not be used for any of the following routine transmission of patient information, financial data, or documents containing information on STDs, drug or alcohol treatment, or HIV the acceptance of a document by someone authorized to accept it is the equivalent of personal service, it cannot be left on a counter or desk