What is a procedure that allows dictated reports to be considered automatically signed unless the signed unless the HIM department is notified?
What is the information that reflects the treatment and services provided to the patient as well as how the patient responded to such treatment and services?
What is coded information contained in secondary records describing patient identification and insurance?
What is the format in which the documentation is organized by source or originating department?
This is where documentation is placed in chronological order regardless of the source?
What type of record defines and documents clinical problems individually?
What is a method used to construct progress notes?
What are the standards that a healthcare organization must meet to receive Medicare funding?