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Chapter 38: The Medical Record Flashcards | Quizlet

    https://quizlet.com/499070840/chapter-38-the-medical-record-flash-cards/
    The physician uses the information in the medical record as a basis for making decisions regarding the patient's care and treatment; it serves to document the results of treatment and the patient's progress and provides an efficient and effective method by which …

Chapter 13 Flashcards | Quizlet

    https://quizlet.com/165619880/chapter-13-flash-cards/
    chronological records detailing a patients progression during treatment. A referral is. a referral form from another physician. Medications are. a breakdown of the drugs currently …

Chapter 5 Flashcards | Quizlet

    https://quizlet.com/529844449/chapter-5-flash-cards/

    Medical Record Chronology | Legal Medical …

      https://www.medres.net/areas-of-expertise/medical-record-review-analysis/medical-chronologies/
      A medical record chronology is a record of medical events presented in chronological order. Creating an accurate, …

    Chapter 26 The Patient Record Flashcards | Quizlet

      https://quizlet.com/415391753/chapter-26-the-patient-record-flash-cards/
      problem-oriented medical record (POMR) a system of recordkeeping used to collect specific pieces of information regarding a patient during a health care visit, such as …

    Medical records 11 Flashcards | Quizlet

      https://quizlet.com/87802058/medical-records-11-flash-cards/
      The chart of a patient not seen in a specific medical office within the past 2 to 5 years (dependent on practice type) Medical record All patient information related to the …

    MOP Chapter 5 Flashcards | Quizlet

      https://quizlet.com/123339227/mop-chapter-5-flash-cards/
      A chronological record of ongoing patient care and progress. Appearance of fraud. Why is it not permissible to correct errors in medical records with an eraser, correction fluid, or …

    CHAPTER 13 THE MEDICAL RECORD Flashcards

      https://quizlet.com/217214137/chapter-13-the-medical-record-flash-cards/
      Chronological medical record patient record that follows the patient over a period of time, with each visit consisting of a new entry by date, rather than by symptoms or diagnosis …

    Medical Office Procedure test 2 for chapter 3,4 & 5 - Quizlet

      https://quizlet.com/406702235/medical-office-procedure-test-2-for-chapter-34-5-flash-cards/
      A chart note is a chronological record of ongoing patient care and progress. A chronological record of ongoing patient care and progress is also known as -A chart …

    History of Present Illness - American College of Cardiology

      https://www.acc.org/tools-and-practice-support/practice-solutions/coding-and-reimbursement/documentation/evaluation-and-management/history-of-present-illness
      The HPI is usually a chronological description of the progression of the patient’s present illness from the first sign and symptom to the present. It should include some or all of …



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