Although anyone who comes into contact with a medical record is responsible for the accuracy of his or her own entry, who in the medical practice is ultimately responsible for proper documentation and correct coding?

Question

Quizplus · Accepted Answer

The physician is ultimately responsible for proper documentation and correct coding in a medical practice. This is because they are the primary provider of care and are legally accountable for the accuracy of the medical records and the procedures coded and billed.

Although Anyone Who Comes into Contact with a Medical Record