Search results for "Clinical Documentation"


 
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Reporting diabetic manifestations

Diabetes mellitus is on the rise and data regarding its type, manifestations and impact on cost and length of stay are needed to assess the effectiveness of current evaluation and management.
https://acphospitalist.acponline.org/archives/2009/06/coding.htm
15 Jun 2009

acp-hosp0905.qxd

DOCUMENT CAUSE AND RELATEDFACTORS. Physician documentation of the specific cause of a skin ulcer isimportant to accurate coding. ... billing and clinical documentation improvement consultation for. hospitals throughout the U.S., including the state of New York’s.
https://acphospitalist.acponline.org/archives/2009/05/acph-200905-coding_t1.pdf
20 May 2009

Documenting skin ulcers: The pressure is on

Physicians must carefully identify patients at high risk of developing pressure ulcers and then initiate and document prevention strategies.
https://acphospitalist.acponline.org/archives/2009/05/coding.htm
15 May 2009

Coding Corner

Distinguishing between stroke and TIA requires taking into consideration various definitions, including cerebral infarction, cerebral hemorrhage, aborted stroke, impending stroke and TIA.
https://acphospitalist.acponline.org/archives/2009/04/coding.htm
15 Apr 2009

Insufficient insufficiency

Physicians often use the term renal insufficiency to communicate the status of a patient’s renal function, but this isn't enough when the medical record supports a more specific condition.
https://acphospitalist.acponline.org/archives/2009/03/coding.htm
15 Mar 2009

Is it sepsis?

John Doe was brought to the emergency department by ambulance from a local nursing home.
https://acphospitalist.acponline.org/archives/2009/02/coding.htm
15 Feb 2009

Letter from the editor

Overprescribing of antibiotics is often cited as a chief culprit behind the rising threat of “superbugâ€ï¿½ infections, such as Methicillin-resistant Staphylococcus aureus (MRSA) and Clostridium difficile.
https://acphospitalist.acponline.org/archives/2009/01/editor.htm
15 Jan 2009

Billing and coding

Specific documentation helps optimize payments for heart failure.
https://acphospitalist.acponline.org/archives/2009/01/coding.htm
15 Jan 2009

Coding corner

Coding corner: ICD-9 changes take effect.
https://acphospitalist.acponline.org/archives/2008/10/coding.htm
15 Oct 2008

Eliminating drug errors

A few years ago, a patient taking a long-lasting brand-name beta-blocker got switched to the generic short-acting medication when admitted to Geisinger Medical Center in Danville, Pa. At discharge, the medication instructions said, “Take all home meds.”.
https://acphospitalist.acponline.org/archives/2007/05/drug-errors.htm
15 May 2007

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