The nurse understands the need for accurate documentation due to which fact?
A) Accurate documentation is needed for proper reimbursement.
B) Accurate documentation must be electronically generated.
C) Accurate documentation does not include e-mails or faxes.
D) Accurate documentation is only accepted in court if written by hand.

Question

Quizplus · Accepted Answer

Accurate documentation is necessary for hospitals to be reimbursed according to diagnostic-related groups (DRGs). DRGs are a system used to classify hospital admissions. Health care documentation is any written or electronically generated information about a patient that describes the patient, the patient's health, and the care and services provided, including the dates of care. These records may be paper or electronic documents, such as electronic medical records, faxes, e-mails, audiotapes, videotapes, and images. All such records are considered legal documentation and may be used in court.

The Nurse Understands the Need for Accurate Documentation Due to Which