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
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.
Consulting report
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.