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RHIA Exam - Question 22


You notice on the admission H&P that Mr. McKahan, a Medicare patient, was admitted for disc surgery, but the progress notes indicate that due to some heat irregularities, he many not be a good surgical risk. Because of your knowledge of COP regulations, you expect that a(n)_______________ will be added to his health record

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Correct Answer: B

Given that Mr. McKahan may have heat irregularities making him a poor surgical risk, it is standard practice to seek the opinion of a specialist. Thus, a consultation report is expected to be added to his health record. The consultation report would provide an expert assessment on whether Mr. McKahan is fit for surgery or if alternative treatments should be considered.

Discussion

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Marable
Jul 29, 2023

Consultations are opinions of physicians with specialty training beyond general board certification such as oncologists. Not all patient receives consultation, so a consultation is not found in every health record.

Atieno
Jul 30, 2024

Consulting report

DalemanjoOption: B
Feb 20, 2025

What does this sentence means "he many not be a good surgical risk"?