Newborn Physical Exam Finding: Caput
Hello-
Does your facility code caput and/or query? Can you share any internal guidelines you or template you have?
Does your facility have guidelines/resources to help educate providers on documenting if caput is clinically significant or not?
Thank you,
Sona Buchanan Director Revenue Cycle- System Clinical Documentation Integrity & IRF-PAI
buchanso@slhs.org
St. Luke’s Health System