RE: [EXTERNAL] RE: end stage CHF

katysuegood@gmail.comkatysuegood@gmail.com
edited May 2016 in CDI Talk Archive
I also think that a query is an option. The physician may state ‘unable to determine’ but they very well may be able to make a determination based on treatment, presentation, and comorbidities. If there would be impact on the records (DRG or SOI/ROM), I would think it would be a question worth asking.

Katy Good, RN, BSN, CCDS, CCS
Clinical Documentation Program Coordinator
AHIMA Approved ICD-10CM/PCS Trainer
Flagstaff Medical Center
Kathryn.Good@nahealth.com
Cell: 928.814.9404


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