Analysis of medical record to identify missing diagnosis performed by coder 

Which is an example of clinical data?

A principal procedure is performed for definitive or therapeutic reasons.

A ______________occurs after a patient is admitted to the hospital

Demographic data is a type of clinical data that identifies a patient’s medical condition.

If a large space is left in a paper record, analyst should 

Progress notes facilitate health care team communication, which is crucial to quality care.

Ready-to-use forms are often more expensive to purchase and therefore are used by few facilities.

diagnosis that will be worked up to seee if it is cause of patient’s condition/admission

When a facility closes, it is the responsibility of the closing facility to ensure that records are handled according to federal and state statutes.