NLS1983
Networker
HELP!
I do all the Pro-Free coding at my hospital. What I'm struggling with is the inconsistency of the documentation.
I hope someone can give me some advice on what they would do.
One day a doctor will say patient has gram neg. bacteremia, and then the next day the next physician will say patient is there with COPD w/acute exacerbation.
The next day the first doctor is saying acute resp. failure w/staph and septic shock!
Well what happened to the gram neg. bacteremia, and why didn't the other physician mention the septic shock!??!
Is it just me? But won't it look back if I am coding something completely different for everyday the patient is here?
I do all the Pro-Free coding at my hospital. What I'm struggling with is the inconsistency of the documentation.
I hope someone can give me some advice on what they would do.
One day a doctor will say patient has gram neg. bacteremia, and then the next day the next physician will say patient is there with COPD w/acute exacerbation.
The next day the first doctor is saying acute resp. failure w/staph and septic shock!
Well what happened to the gram neg. bacteremia, and why didn't the other physician mention the septic shock!??!
Is it just me? But won't it look back if I am coding something completely different for everyday the patient is here?