The medical assistant should never code a patient as having ________ unless it is clearly documented as confirmed in the medical record.
Understand the Problem
The question is asking what condition a medical assistant should not code unless it is clearly documented in the medical record. It provides four options related to medical conditions, seeking to identify which one requires careful documentation.
Answer
Human immunodeficiency virus (HIV)
The medical assistant should never code a patient as having human immunodeficiency virus (HIV) unless it is clearly documented as confirmed in the medical record.
Answer for screen readers
The medical assistant should never code a patient as having human immunodeficiency virus (HIV) unless it is clearly documented as confirmed in the medical record.
More Information
Coding a patient for HIV requires confirmation due to the sensitivity and implications of the diagnosis. This ensures accuracy and proper care.
Tips
Ensure documentation in the medical record is thorough and accurate before coding for sensitive conditions like HIV.
Sources
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