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Billing & Coding

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Questions Answers
Saw Physician in last 3 years Active Patient
Format that consist of 7 digit codes w/ letters ICD-10-PCS
Set of commonly agreed on specifications Standards
reference database of medical vocabularies UMLS
Structured Progress notes that document patient encounters in an HER Clinical Templates
Computerized lifelong health care record with data from all sources Electronic Health Record
Poor hand writting, mislabeled labs specimens & misfiled records Factors in medical error

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