CMS takes the position that "if it isn't documented, it wasn't done." What does this mean and why would it matter to CMS?
What will be an ideal response?
Medical claims are based on the patient's chart. If the amount of information in the chart is insufficient to support the level of service coded on the claim or if a billed procedure is not recorded in the patient chart, it is considered billing fraud.
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Which of the following is NOT part of Beck's triad?
A) Pulsus paradoxus B) Muffled heart tones C) Jugular vein distension D) Hypertension
Limiting time spent at a scene can be especially important if the mechanism of injury suggests that the patient could go into shock. In order to keep the time at the scene to a minimum, which of the following assessments or treatments should NOT be performed on the scene?
A) ABCs with spinal precautions B) Immobilization C) Splinting swollen extremities D) Rapid trauma exam