Possible / Probable diagnoses must be documented DAY of discharge
We have a vendor educating CDI/Coding, per Guidelines, the physician must literally document all applicable "possible/probable" diagnoses on the actual day of discharge, rather then just in the DC Summary, which might not be completed until the next day.
Our Organization has interpreted the Guideline as "possible / probable" diagnoses that are still applicable must be on DC Summary regardless the day of discharge.
Anyone have any information to assist us in determining which is accurate? Have any of you ever received a denial based on the vendor's interpretation of the Guideline?
Thank you for any knowledge you have to share!!