Coding Guidelines
Team,
I was taught to review all records including ER records. However, we do not code directly from the ER record. We use it as a tool to make sure that everything gets to the H&P that was initially documented. Some Inpatient CDI team members think they can code directly from the ER record. Please let me know your thoughts. I just want to follow the highest standard of practice on this.
Syndi Hudson, RN, CCDS,CCM
CHRISTUS Santa Rosa New Braunfels
CDI Specialist
cynthia.hudson@christushealth.org
830-643-6116 (Office)
830-643-5139 (Fax)
[CCDS_pin_1inch]
"We are His hands". Isaiah 64:8
I was taught to review all records including ER records. However, we do not code directly from the ER record. We use it as a tool to make sure that everything gets to the H&P that was initially documented. Some Inpatient CDI team members think they can code directly from the ER record. Please let me know your thoughts. I just want to follow the highest standard of practice on this.
Syndi Hudson, RN, CCDS,CCM
CHRISTUS Santa Rosa New Braunfels
CDI Specialist
cynthia.hudson@christushealth.org
830-643-6116 (Office)
830-643-5139 (Fax)
[CCDS_pin_1inch]
"We are His hands". Isaiah 64:8