RE: RE:[EXTERNAL] RE:"borderline hyponatremia"

deanne_wilkdeanne_wilk
edited May 2016 in CDI Talk Archive
We get this also with ATN where the nephrologist and hospitalist state it numerous times but if one provider says possible/probable/likely anywhere in the progress notes/consult/H & P we were told we should have queried for "inconsistent documentation" to clarify. Ridiculous.


Deanne Wilk, BSN, RN, CCDS, CCS
AHIMA approved ICD-10-CM/PCS Trainer

Clinical Documentation Improvement and Inpatient Coding Manager
HIMS Department
Good Samaritan Health System
4th & Walnut Sts
Lebanon, PA 17042
dwilk@gshleb.org

Phone: 717-270-7582
Cell: 717-580-1436
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