6.14 - Sample Documentation

Why is documenting the ECG procedure important?

For health care reimbursement.

With electronic medical records, it is important to document the procedure as soon as possible after ______:

completion of the test.

Some computer programs automatically ______ the procedure once the ECG is entered into the system:

code.

Important patient information should be completed on the electronic ECG prior to ______:

submission.

Incomplete patient information can cause unnecessary delay in ______:

reimbursement.

All systems require at least the patient’s name, ______, physician’s name, date of service, time of service, and any additional procedures:

age.

The physician’s ______ must be included in the ECG documentation:

name.

The ECG record must include the date and ______ of service:

time.

Other factors that may affect reimbursement include whether the ECG was an ______ test:

emergency (STAT).

A routine test, a follow-up test, or an emergency ECG are examples of factors that may affect ______:

reimbursement.