Explain the contents of the medical record


Homework: Medical Billing and Coding

Introduction:

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.

Tasks:

1) Explain the contents of the medical record.
2) Describe SOAP notes-subjective, objective, assessment, and plan.
3) Explain operative reports function in medical necessity coding.
4) Explain National and Local coverage determinations.

Format your homework according to the following formatting requirements:

i) The answer should be typed, using Times New Roman font (size 12), double spaced, with one-inch margins on all sides.

ii) The response also includes a cover page containing the title of the homework, the student's name, the course title, and the date. The cover page is not included in the required page length.

iii) Also include a reference page. The Citations and references must follow APA format. The reference page is not included in the required page length.

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