information. o Health care providers, health plans, health care clearinghouses (billing services) must all comply o Federal law Different types of Documents Lab documents - Reports of analysis of exam of body specimens to assist physician in diagnosing and treating disease. o Ex) Hematology, urinalysis, Microbiology, cytology, histology Diagnostic procedure documents- procedures performed to assist in the diagnosis, management or treatment of patient. o Ex) ECG/EKG, Holter monitor report…
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