tfrick2
Networker
This may sound like a dumb question, but I don't do much coding for observation services. When reviewing OBS charts for diagnosis codes, do you look at the discharge summary as well? For example, a patient who goes to the ED for chest discomfort, dyspnea and right-sided facial numbness, is admitted from the ED to OBS and followed by a hospitalist for three days before discharge. The patient had Neurology and Endocrinology consultations while in observation, as well as a cardiac echo to rule out issues there. Would you look at the discharge summary when trying to capture diagnoses for the ED and OBS charges?
Thanks in advance!
Tracy
Thanks in advance!
Tracy
diagnosis codes, diagnosis coding