More details provided regarding a patients care

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more details provided regarding a patients care, treatment, procedures, and diagnosis, the better the next healthcare professional will have an understanding of the patient’s medical history. ICD-10-PCS Coding
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HI223-8 4
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HI223-8 5 Chart Five In order to code this record to the highest degree of specificity and accurately reflect the true severity of illness and complexity of this case we need your assistance. Ms. Hope Springs was admitted for a removal of surgical hip screw. Please dictate the operative report including laterality and approach used. Laterality: Left Right Bilateral Approach: External Open Percutaneous Percutaneous Endoscopic
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HI223-8 6 References AHIMA Staff. (2013, February 1). Physician Query Examples. Retrieved November 16, 2018, from Ruesink, M. (2016, November 21). Health Information Trends: The Importance of Clinical Documentation Improvement. Retrieved November 18, 2018, from - sciences/blog/importance-of-clinical-documentation-improvement/
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  • Fall '18
  • ICD-10, clinical documentation improvement

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