Title: Demonstrate the assessment of abstracted information from medical records and other documents, applying knowledge of medical terminology.
Course: Medical Coding and Billing I (14151-III) > Section: Understanding Health Informatics

Demonstration should include

- assessing information for appropriateness, accuracy, and completeness
- assessing information for conformance with legal, ethical, and regulatory guidelines.

Process/Skill Questions

- Why is it essential to have knowledge of medical terminology when abstracting information from medical records?
- What healthcare careers are involved with abstracting information from medical records?
- How might abstracting information from medical records affect reimbursements?
- Where can legal, ethical, and regulatory guidelines related to abstracting information from medical records be found?