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Repair or lacerations that require layered closure of one or more of the deeper layers of the skin and tissues is known as
The official American Hospital Association policy states that "abbreviations should be totally eliminated from the more vital sections of the record, such as the"
All of the above
The SOAP in patient medical record charting may be defined as
S-subjective, O-ovjective, A-assessment, P-plan
The key to substantiating procedure and diagnostic code selections for proper reimbursement is
supporting documentation in the health record.
An internal review known as ____ ____ is done after billing insurance carriers.
An inventory of body systems obtained through a series of questions that are used to indentify signs and/or symptoms of the patient is known as a/an ____ ____ ____
review of system
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