Describe soap notes-subjective objective assessment and plan


Discussion Post: Coding For Medical Necessity

In order to properly code a bill for medical necessity, it is important to understand the electronic medical record. This record contains information about the patient's health both before and after the treatment and has the data needed to assure a payer that the treatment was necessary.

Task:

a) Explain the contents of the medical record.
b) Describe SOAP notes-subjective, objective, assessment, and plan.
c) Explain operative reports function in medical necessity coding.
d) Explain National and Local coverage determinations.

The response should include a reference list. Using one-inch margins, Times New Roman 12 pnt font, double-space and APA style of writing and citations.

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