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Practice Exam

Click here for more sample CPC practice exam questions and answers with full rationale

Appropriate for medical record??

I work for an orthopedic clinic. The clinic is contracted to provide athletic Training Services for our local high school. Our athletic trainer will go to the high school and monitor practices and help students with training issues as needed stretching icing rehab that sort of thing. She wants to document her visits with these kids in the medical record. I do not think that sort of thing belongs in our EMR. I do not feel that this is an appropriate thing to put in the clinic medical record. These training visit she has with them are something through the school they are not actual medical health care at our Clinic. What is everyone’s thoughts on this am I correct or not does anyone have any documentation supporting why or why this should not be in the chart? I personally do not think it’s something that should be in there but I need to prove my stance on this. Thank you

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