When a provider has a discussion with a patient or family member regarding test results, instructions, or follow-up care, this service is documented as:
A) consultation.
B) counseling.
C) referral.
D) treatment.

Question

Quizplus · Accepted Answer

When a provider engages in a discussion with a patient or family member regarding test results, instructions, or follow-up care, this is considered counseling. Counseling is defined as a discussion between a provider or clinical staff and a patient or family member to address a specific issue or concern. Documentation of this service should include the topic discussed, the date and time, and any recommendations or instructions provided by the provider.

When a Provider Has a Discussion with a Patient or Family