A patient is undergoing a laparoscopic cholecystectomy. Following the insertion
of the laparoscope into the abdominal cavity, the patient experienced a cardiac
arrhythmia and the procedure was terminated. What root operation(s) would be
coded for this procedure?
Jane Anderson, RHIT has been asked by her supervisor to run an audit trail
report. What is her supervisor wanting to detect?
Unauthorized access to a system
Loss of data
Successful completion of a backup
Presence of a virus
All of the following are required elements of a charge description master
As a concurrent record reviewer for an acute care hospital, you have requested
Dr. Jones to provide an updated medical history and physical exam for one of his
recent admissions. Dr. Jones reviews the patient record to a copy of an office
history and physical exam performed in his office 6 days before the patient’s
admission. Based on this finding, you tell Dr. Jones: