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Outpatient Coding and Time Management Student’s Name Institution Affiliation Outpatient Coding and Time Management Question 1 What is the documentation you likely to see for outpatient services and how you will use this documentation in your coding work? Give at least three specific examples. Include information on using the right wording for diagnosis in documentation. Documentation of medical description to patients plays a critical role in explaining the need for medical health management and the justification for exception process. Usually, the inpatient and outpatient documentation is reviewed by the medical practitioners and provides required services across the medical healthcare services (Bresnen & Marhefka, 2012). Therefore, the documentation should coordinate several sections of services in a health center to ensure a consistent transition of services. Thus, evaluation and management documentation of a patient is the appropriate way to provide medical records, and the information is accurately reported covering the medical services. This evaluation and management documentation further ensure legibility, relevance, and justification of service bill of a patient. This detail description entails the general appearance of a patient, auscultation of the heart, and the auscultation of the lungs among other health services (Jones, Beecroft & Patterson, 2014). The evaluation and management coding using the current Procedural Terminology (CPT) codes by the health practitioners provide prolonged service going beyond the duration description for assessment and management of particular service (Johnson, 2011). Moreover, the Speech-Language Pathology
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