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LIBERTY UNIVERSITYATHLETIC TRAINING PROGRAM HANDBOOK ATP Handbook Revised 6/2020TABLE OF CONTENTS INTRODUCTION .............................................................................................................................
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Professional and clinical terminology refers to the specialized language and terms used by healthcare professionals to describe diagnoses, procedures, and other aspects of medical practice.
Healthcare providers, such as physicians, nurses, and other licensed practitioners, as well as institutions like hospitals and clinics, are required to file professional and clinical terminology as part of their documentation and billing processes.
Filling out professional and clinical terminology involves accurately entering the appropriate codes and terms as specified in coding manuals and standards (e.g., ICD, CPT, HCPCS) based on the patient’s diagnosis and treatment.
The purpose of professional and clinical terminology is to ensure clear communication among healthcare providers, facilitate accurate billing and insurance claims, and maintain comprehensive patient records.
Essential information that must be reported includes patient demographics, diagnosis codes, procedure codes, provider information, and any relevant clinical notes or comments.
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