Which of the four distinct components of the problem-oriented record serves to help index
documentation throughout the record?
A. database C. initial plan
B. problem list D. progress notes
B In a POMR, the database contains the history and physical; the problem list includes titles,
numbers, and dates of problems, and serves as a table of contents of the record; the initial
plan describes diagnostic, therapeutic, and patient education plans; and the progress notes
document the progress of the patient throughout the episode of care, summarized in a discharge
summary or transfer note at the end of the stay.
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A) 17 million B) 15 million C) 1.5 million D) 3.8 million
A claim was denied because one code was entered incorrectly. The procedure code was corrected and should be appended with modifier:
A. GB. B. CC. C. GA. D. CA.