,Test Bank for Guide to Clinical Documentation
hg hg hg hg hg hg
3rdEdition by Debra D Sullivan
hg h
g hg hg hg hg
GUIDE
Clinical
TO
h g
Documentatio
hg
n
THIRD hg hg hg hg h g EDITI
hg hg hg hg
ON
hg hg
Debra D. Sullivan, PhD, RN, PA-C
hg hg hg hg hg
Lead h g Advanced h g Practice h g Provider
Academic h g Urology h g and h g Urogynecology h g of
h g Arizona h
L
g itchfield h g Park, h g AZ
Owner, h g Sullivan h g Consulting
h g Services hM
g edicolegal h g Consulting
Glendale, h g AZ
,F. hgA. hgDavis
hgCompany hg1915
hgArch hg Street
hgPhiladelphia, hgPA
hg19103
hgwww.fadavis.com
Copyright h g © hg 2019 h g by hgF. hgA. hgDavis h g Company
Copyright hg © hg 2019 hg by hg F. hgA. hgDavis hg Company. hgAll hg rights hg reserved. hgŁis hg product h g is hg protected h g by hg copyright. hgNo hg part
hg of hg it h g may hg be hg reproduced, hgstored hgin hga hgretrieval hgsystem, hgor hgtransmitted hgin hgany hgform hgor hgby hgany hgmeans, hgelectronic,
hgmechanical, hgphotocopying, hgrecording, hgor hgotherwise,hgwithout hgwritten hgpermission hgfrom hgthe hgpublisher.
Printed hgin hgthe hgUnited hgStates hgof hgAmerica
Last hgdigit hgindicates hgprint hgnumber: hg10 hg9 hg8 hg7 hg6 hg5 hg4 hg3 hg2 hg1
Senior hgAcquisitions hgEditor: hgMelissa hgA.
hgDuffield hgDirector hgof hgContent hgDevelopment:
hgGeorge hgW. hgLanghgDevelopmental hgEditor:
hgStephanie hgKelly
Art h g and h g Design h g Manager: hg Carolyn h g O’Brien
Content hgProject hgManager: hgMegan hgSuermann
As hgnew hgscientific hginformation hgbecomes hgavailable hgthrough hgbasic hgand hgclinical hgresearch, hgrecommended hgtreatments hgand hgdrug
hgtherapies hgundergo hgchanges. hgŁe h g author(s) h g and h g publisher h g have h g done h g everything h g possible h g to h g make h g this h g book hg accurate,
hg up h g to h g date, hg and h g in h g accord h g with h g accepted hgstandards h g at hg the h g time h g of h g publication. hgŁe h g author(s), hg editors, hgand
h g publisher h g are hg not h g responsible hg for h g errors hg or h g omissions hg or h g for h g consequences hgfrom hgapplication hgof hgthe hgbook, hgand hgmake
hgno hgwarranty, hgexpressed hgor hgimplied, hgin hgregard hgto hgthe hgcontents hgof hgthe hgbook. hgAny hgpractice hgdescribed hgin hgthis hgbook hgshould
hgbe hgapplied hgby hgthe hgreader hgin hgaccordance hgwith hgprofessional hgstandards hgof hgcare hgused hgin hgregard hgto hgthe hgunique hgcircumstances
hgthat hgmay hg apply hgin hgeach hgsituation. hgŁe hgreader hg is hgadvised hg always hgto hgcheck hg product hg information hg(package hginserts) hgfor
hgchanges hgand hgnew hginformation hgregarding hgdose hgand hgcontraindications hgbefore hgadministering hgany hgdrug. hgCaution hgis hgespecially
hgurged hgwhen hgusing hgnew hgor hginfrequently hgordered hgdrugs.
Library hgof hgCongress hgCataloging-in-Publication hgData
Names: hgSullivan, hgDebra h g D., hgauthor.
Title: h g Guide h g to h g clinical h g documentation/Debra h g D. hgSullivan.
Description: hgŁird hgedition. hg| hgPhiladelphia: hgF.A. hgDavis hgCompany, hg[2019]
hg | hgIncludes hgbibliographical hgreferences hgand hgindex.
Identifiers: hgLCCN hg2018019472 hg(print) hg| hgLCCN hg2018019898
hg(ebook) hg| hgISBNhg9780803669994 hg| hgISBN hg9780803666627 hg(pbk.)
Subjects: hg| hgMESH: hgForms hgand hgRecords hgControl--methods hg|
hgMedicalhgRecords--standards
Classification: hgLCC hg R697.P45 h g (ebook) hg | hg LCC hg R697.P45 hg (print) h g | hg NLM
hg W hg 80 hg | hg DDChg651.5/04261--dc23
LC h g record h g available h g at h g https://lccn.loc.gov/2018019472
Authorization hgto hgphotocopy hgitems hgfor hginternal hgor hgpersonal hguse, hgor hgthe hginternal hgor hgpersonal hguse hgof hgspecific hgclients, hgis
hggranted hgby hgF. hgA. hgDavis hgCompany hgfor hgusers hgregistered h g with hgthe hgCopyright hgClearance hgCenter hg(CCC) hgTransactional
hgReporting hgService, hgprovided hgthat hgthe hgfee hgof hg$.25 hgper hgcopy hgis hgpaid hgdirectly hgto hgCCC, hg222 hgRosewood hgDrive, hgDanvers,
hgMA hg01923. hgFor hgthose hgorganizations hgthat hghave hgbeen hggranted hga hgphotocopy hglicense hgby hgCCC, hga hgseparate hgsystem hgof
hgpayment hghas hgbeen hg arranged. hgŁe hgfee hgcode hgfor hg users hgof hgthe hgTransactional hg Reporting hgService hgis:
978-0-8036-6662-7/18 hg0 hg+ hg$.25.
, Dedication
When hgI hgthink hgback hgto hg2004, hgwhen hgthe hgfirst hgedition hgof
hg this hgbook hgwas hgpublished, hgI hgthink hgof hga hgwonderful hggroup
hg of hgfriends hgwho hgwere hgthere hgto hgcelebrate hgwith hgme. hgAs hgI
anticipate hgthe hgpublicationhgof hgthe hgthird hgedition, hgalmost hgall
hg
of hgthose hgsame hgwonderful hgfriendshgare h g still h g here,
hg
hg encouraging h g and h g supporting h g me, hg and h g cheering h g mehgon hgto
hg the hgfinish hgline. hgSadly, hgmy hgdear hgfriend hgCandy hgleft hgus
hg muchhgtoo hg soon, hgand h g I hg miss hg her hg sweet hg presence hg more hg than
hg words hg can hgsay.hg7e hgessence hgof hgher hgheart hgand hgsoul hgis hgwith
hg me hgalways. hgFor hg hgthe hg remaining hg STUB-C hg friends hg (Kent,
hg Donna, hgPaige, hgJeff, hgJohn, hgBrianna, hgJustin, hgTim, hgCarla,
hg and hgJeff hg), hgthanks hgfor hgyour hgfriendship, hgyour hglove, hgand
hg your hgconstancy hgin hgmy hglife hgthrough hgthe hgpast hgtwo hgdecades.
I couldn’t hgask hgfor hga hgbetter hggroup hgof hgpeople hgto hgshare hg life
hg hg
hg with! hg I hg hope hg there hg are hg many hg more hgdecades hg to hg come!
Not hgonly hghave hgI hgbeen hgblessed hgwith hgthese hgincredible
hg friends, hgbuthgI hgam hgfortunate hgto hghave hgthe hgmost hgloving,
hg caring, hgand hgsupportivehghusband hgany hgwoman hgcould hghope
hg for. hgGreg hgis hgan hgunwavering hgsource hgof hgencouragement
hg and hginspires hgand hgchallenges hgme hgto hgbe hgthe h g best h g I hg can hg be.
hg He hg has hg stood h g beside h g me h g without h g complaint hgthrough hgthe
hg days hgof hgwriter’s hgblock, hglooming hgdeadlines, hgmalfunctioning
hg computers, hgand hgthe hgoften-self-imposed hgfrenzy hgof hgmy
hg world. hgHe hghas hgthe hginsight hgto hgknow hgwhen hgto hgcheer hgme
hg on,hgwhen hgto hgmake hgme hgtake hga hgbreak, hgand hgwhen hgto hggive
hg me hgspace. hgI hgam hgso hggrateful hgfor hghis hgcalming hginfluence,
his hgability hgto hgmake hgme h g laugh h g and hg not hg take h g myself h g too
hg
hg seriously, hgand h g all h g he h g does
Copyright hg © hg2019 hgby hgF. hgA. hgDavis h g Company. hgAll iii
hg rights hg reserved.
hg hg hg hg hg hg
3rdEdition by Debra D Sullivan
hg h
g hg hg hg hg
GUIDE
Clinical
TO
h g
Documentatio
hg
n
THIRD hg hg hg hg h g EDITI
hg hg hg hg
ON
hg hg
Debra D. Sullivan, PhD, RN, PA-C
hg hg hg hg hg
Lead h g Advanced h g Practice h g Provider
Academic h g Urology h g and h g Urogynecology h g of
h g Arizona h
L
g itchfield h g Park, h g AZ
Owner, h g Sullivan h g Consulting
h g Services hM
g edicolegal h g Consulting
Glendale, h g AZ
,F. hgA. hgDavis
hgCompany hg1915
hgArch hg Street
hgPhiladelphia, hgPA
hg19103
hgwww.fadavis.com
Copyright h g © hg 2019 h g by hgF. hgA. hgDavis h g Company
Copyright hg © hg 2019 hg by hg F. hgA. hgDavis hg Company. hgAll hg rights hg reserved. hgŁis hg product h g is hg protected h g by hg copyright. hgNo hg part
hg of hg it h g may hg be hg reproduced, hgstored hgin hga hgretrieval hgsystem, hgor hgtransmitted hgin hgany hgform hgor hgby hgany hgmeans, hgelectronic,
hgmechanical, hgphotocopying, hgrecording, hgor hgotherwise,hgwithout hgwritten hgpermission hgfrom hgthe hgpublisher.
Printed hgin hgthe hgUnited hgStates hgof hgAmerica
Last hgdigit hgindicates hgprint hgnumber: hg10 hg9 hg8 hg7 hg6 hg5 hg4 hg3 hg2 hg1
Senior hgAcquisitions hgEditor: hgMelissa hgA.
hgDuffield hgDirector hgof hgContent hgDevelopment:
hgGeorge hgW. hgLanghgDevelopmental hgEditor:
hgStephanie hgKelly
Art h g and h g Design h g Manager: hg Carolyn h g O’Brien
Content hgProject hgManager: hgMegan hgSuermann
As hgnew hgscientific hginformation hgbecomes hgavailable hgthrough hgbasic hgand hgclinical hgresearch, hgrecommended hgtreatments hgand hgdrug
hgtherapies hgundergo hgchanges. hgŁe h g author(s) h g and h g publisher h g have h g done h g everything h g possible h g to h g make h g this h g book hg accurate,
hg up h g to h g date, hg and h g in h g accord h g with h g accepted hgstandards h g at hg the h g time h g of h g publication. hgŁe h g author(s), hg editors, hgand
h g publisher h g are hg not h g responsible hg for h g errors hg or h g omissions hg or h g for h g consequences hgfrom hgapplication hgof hgthe hgbook, hgand hgmake
hgno hgwarranty, hgexpressed hgor hgimplied, hgin hgregard hgto hgthe hgcontents hgof hgthe hgbook. hgAny hgpractice hgdescribed hgin hgthis hgbook hgshould
hgbe hgapplied hgby hgthe hgreader hgin hgaccordance hgwith hgprofessional hgstandards hgof hgcare hgused hgin hgregard hgto hgthe hgunique hgcircumstances
hgthat hgmay hg apply hgin hgeach hgsituation. hgŁe hgreader hg is hgadvised hg always hgto hgcheck hg product hg information hg(package hginserts) hgfor
hgchanges hgand hgnew hginformation hgregarding hgdose hgand hgcontraindications hgbefore hgadministering hgany hgdrug. hgCaution hgis hgespecially
hgurged hgwhen hgusing hgnew hgor hginfrequently hgordered hgdrugs.
Library hgof hgCongress hgCataloging-in-Publication hgData
Names: hgSullivan, hgDebra h g D., hgauthor.
Title: h g Guide h g to h g clinical h g documentation/Debra h g D. hgSullivan.
Description: hgŁird hgedition. hg| hgPhiladelphia: hgF.A. hgDavis hgCompany, hg[2019]
hg | hgIncludes hgbibliographical hgreferences hgand hgindex.
Identifiers: hgLCCN hg2018019472 hg(print) hg| hgLCCN hg2018019898
hg(ebook) hg| hgISBNhg9780803669994 hg| hgISBN hg9780803666627 hg(pbk.)
Subjects: hg| hgMESH: hgForms hgand hgRecords hgControl--methods hg|
hgMedicalhgRecords--standards
Classification: hgLCC hg R697.P45 h g (ebook) hg | hg LCC hg R697.P45 hg (print) h g | hg NLM
hg W hg 80 hg | hg DDChg651.5/04261--dc23
LC h g record h g available h g at h g https://lccn.loc.gov/2018019472
Authorization hgto hgphotocopy hgitems hgfor hginternal hgor hgpersonal hguse, hgor hgthe hginternal hgor hgpersonal hguse hgof hgspecific hgclients, hgis
hggranted hgby hgF. hgA. hgDavis hgCompany hgfor hgusers hgregistered h g with hgthe hgCopyright hgClearance hgCenter hg(CCC) hgTransactional
hgReporting hgService, hgprovided hgthat hgthe hgfee hgof hg$.25 hgper hgcopy hgis hgpaid hgdirectly hgto hgCCC, hg222 hgRosewood hgDrive, hgDanvers,
hgMA hg01923. hgFor hgthose hgorganizations hgthat hghave hgbeen hggranted hga hgphotocopy hglicense hgby hgCCC, hga hgseparate hgsystem hgof
hgpayment hghas hgbeen hg arranged. hgŁe hgfee hgcode hgfor hg users hgof hgthe hgTransactional hg Reporting hgService hgis:
978-0-8036-6662-7/18 hg0 hg+ hg$.25.
, Dedication
When hgI hgthink hgback hgto hg2004, hgwhen hgthe hgfirst hgedition hgof
hg this hgbook hgwas hgpublished, hgI hgthink hgof hga hgwonderful hggroup
hg of hgfriends hgwho hgwere hgthere hgto hgcelebrate hgwith hgme. hgAs hgI
anticipate hgthe hgpublicationhgof hgthe hgthird hgedition, hgalmost hgall
hg
of hgthose hgsame hgwonderful hgfriendshgare h g still h g here,
hg
hg encouraging h g and h g supporting h g me, hg and h g cheering h g mehgon hgto
hg the hgfinish hgline. hgSadly, hgmy hgdear hgfriend hgCandy hgleft hgus
hg muchhgtoo hg soon, hgand h g I hg miss hg her hg sweet hg presence hg more hg than
hg words hg can hgsay.hg7e hgessence hgof hgher hgheart hgand hgsoul hgis hgwith
hg me hgalways. hgFor hg hgthe hg remaining hg STUB-C hg friends hg (Kent,
hg Donna, hgPaige, hgJeff, hgJohn, hgBrianna, hgJustin, hgTim, hgCarla,
hg and hgJeff hg), hgthanks hgfor hgyour hgfriendship, hgyour hglove, hgand
hg your hgconstancy hgin hgmy hglife hgthrough hgthe hgpast hgtwo hgdecades.
I couldn’t hgask hgfor hga hgbetter hggroup hgof hgpeople hgto hgshare hg life
hg hg
hg with! hg I hg hope hg there hg are hg many hg more hgdecades hg to hg come!
Not hgonly hghave hgI hgbeen hgblessed hgwith hgthese hgincredible
hg friends, hgbuthgI hgam hgfortunate hgto hghave hgthe hgmost hgloving,
hg caring, hgand hgsupportivehghusband hgany hgwoman hgcould hghope
hg for. hgGreg hgis hgan hgunwavering hgsource hgof hgencouragement
hg and hginspires hgand hgchallenges hgme hgto hgbe hgthe h g best h g I hg can hg be.
hg He hg has hg stood h g beside h g me h g without h g complaint hgthrough hgthe
hg days hgof hgwriter’s hgblock, hglooming hgdeadlines, hgmalfunctioning
hg computers, hgand hgthe hgoften-self-imposed hgfrenzy hgof hgmy
hg world. hgHe hghas hgthe hginsight hgto hgknow hgwhen hgto hgcheer hgme
hg on,hgwhen hgto hgmake hgme hgtake hga hgbreak, hgand hgwhen hgto hggive
hg me hgspace. hgI hgam hgso hggrateful hgfor hghis hgcalming hginfluence,
his hgability hgto hgmake hgme h g laugh h g and hg not hg take h g myself h g too
hg
hg seriously, hgand h g all h g he h g does
Copyright hg © hg2019 hgby hgF. hgA. hgDavis h g Company. hgAll iii
hg rights hg reserved.
