Unformatted text preview: providers, facilitate claims review and payment Can a Medical record serve as legal document YES All services provided to a patient are_______ supported and documented in the medical record What are coders required to do with the medical records? Read and understand the documentation in the medical record in order to accurately code the services rendered. What are some different types of services documented in a medical record? Evaluation and management Operative reports X-Rays Evaluation and Management services are provided in what standard format SOAP What is SOAP documentation? S- Subjective O-Objective A- Asssessment P-Plan...
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- Fall '10
- insurance carriers, documents patient care, Medical record serve