In reviewing a medical record for coding purposes, the coder notes that the discharge summary has not yet been transcribed. In its absence, the best place to look for the patient's response to treatment and documentation of any complications that may have developed during this episode of care is in the doctors' progress note section.
A. Operative report.
B. Doctors' orders.
C. History and physical.

Question

11-06-2024
Medicine

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In reviewing a medical record for coding purposes, the coder notes that the discharge summary has not yet been transcribed. In its absence, the best place to look for the patient's response to treatment and documentation of any complications that may have developed during this episode of care is in the doctors' progress note section.
A. Operative report.
B. Doctors' orders.
C. History and physical.

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