Abstracting is the process of reviewing health care documentation and identifying the key words or terms in order to determine the best, most appropriate code for billing and statistical purposes. Option A describes summarizing the patient's history, while option B describes items used in patient care and option C describes preprinted forms for diagnosis and procedure codes.

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What Is Abstracting

Question 16

Multiple Choice

What is abstracting?

A) When the physician summarizes the patient's history in his or her notes
B) Items that are used in the care and treatment of a patient
C) A form preprinted with the diagnosis codes and procedure codes most frequently used in a particular facility
D) The process of identifying the key words or terms in health care documentation in order to determine the best, most appropriate code

Correct Answer: