Discussion Surely Have Explained for Students (Easy Guide)

This type of question evaluates analytical and critical thinking skills.

What This Question Is About

This question relates to discussion surely have and requires a structured academic response.

How to Approach This Question

Use appropriate theories and support your answer with clear reasoning.

Key Explanation

This topic involves discussion surely have. A strong answer should include explanation, application, and examples.

Original Question

Discussion Surely you have heard the Golden Rule of charting by now, “If it wasn’t documented it wasn’t done.” The general idea behind this phrase is: If we fail to document a patient encounter, then for all intents and purposes it didn’t happen. When we have no “evidence” an encounter occurred, bad things can happen. To relate this to Chapter 6 and “Managing the Revenue Cycle:” The top of page 124 says, “…medical coding is the process of translating medical information found in the medical record (e.g. a history and physical report) into alphanumeric codes representing standard descriptions that list all the reasons for an encounter with a health care professional (e.g. routine physical exam) and all the services and procedures that were performed during an encounter.” On the discussion board, let’s assume a patient is given a trial of an antidepressant and is told to follow up in one week with her PCP….but that encounter isn’t documented. What “harm” might come to the patient as a result? Try to think of at least two problems that could affect the patient. How will this affect the PCP or other providers covering for the PCP? How will this affect the revenue for the office?

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