velma
New
Hi,
I just started working for a company and the coders are picking up dx's from the History and medication list. For example: CHF is listed in the PMH and Lasix is in the Medications. The Dr did not mention anything about how he is treating the disease.
They are also filling in the BMI going by the weight and height Dr noted and coding obesity and adding the BMI code. I dont agree with this. This is an electronic record and I dont think we should be adding anything to it. Now what if the doctor documented in the PMH "CHF pt on Lasix" Is this exceptable?
Please advise...
Thank you,
Velma CPC
I just started working for a company and the coders are picking up dx's from the History and medication list. For example: CHF is listed in the PMH and Lasix is in the Medications. The Dr did not mention anything about how he is treating the disease.
They are also filling in the BMI going by the weight and height Dr noted and coding obesity and adding the BMI code. I dont agree with this. This is an electronic record and I dont think we should be adding anything to it. Now what if the doctor documented in the PMH "CHF pt on Lasix" Is this exceptable?
Please advise...
Thank you,
Velma CPC