
The Painless Way to Reduce Health Care Costs for Uninsured People
Complete Medical Records for Auditing Hospital Bills "Complete Medical Records" means all paper and electronic records that may be useful in determining the validity of charges contained in a patient's itemized hospital bill. Such records include, but are not limited to, the following items: |
| | Admission and Discharge Summaries Ambulatory Surgery Reports Anesthesia Records Anesthesiology Reports Blood Product Requisitions Cardiology Reports Clinical Pathway Reports Consultation Reports Critical Care Reports Diagnosis and Summary Reports EKG/ECG Reports and/or Strips Emergency Department Reports Flow Sheets Intake & Output Reports Intensive Care Unit Reports Intraoperative Records Laboratory Reports Medication Administration Records Nuclear Medicine Reports Nursing Diagnosis Reports Nursing Interventions/Medical Orders Nurses Notes Occupational Therapy Reports Operative Reports Order Sheets (a.k.a. Physicians' Order Sheets or Doctors' Order Sheets) Pathology and Cytopathology Reports Patient History and Physical Reports Perioperative Nursing Documentation Physical Therapy Reports Post Anesthesia Care Unit Reports Post Operative Reports Preadmission Testing Reports Procedure Reports Progress Notes, including Final Progress Note Radiology Reports Rehabilitation Reports Respiratory Care Reports Surgery Reports Transfusion Records Ultrasound Reports
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