The key to substantiating procedure and diagnostic code selections for proper reimbursement is
A) the information on the daysheet.
B) supporting documentation in the electronic health record.
C) the data on the patient's information sheet.
D) the data checked off on the patient's encounter form.

Question

Quizplus · Accepted Answer

Supporting documentation in the electronic health record is crucial in substantiating procedure and diagnostic code selections for proper reimbursement. The daysheet, patient's information sheet, and encounter form can provide some information, but the electronic health record contains detailed documentation of the patient's care and is the most reliable source of information for accurate coding and billing.

The Key to Substantiating Procedure and Diagnostic Code Selections for Proper