Explanations were given for coding the complications

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The hospital AHRQ showed a high rate on OB c-sections complications so the OB department selected records to review the coding that made these rates high. Some of the codes used were believed to be coding errors. All the Coding Clinic documents that applied were pulled and shown to the committee. Explanations were given for coding the complications, but it was pointed out that the Coding Clinic said "query the physician" and in this case the physician is saying there is no complication. The director of the HIM Department is meeting with the Compliance Officer, a former surgeon, to review the cases and the Coding Clinic. If he feels the codes should not be used then the HIM Director will feel she has performed due diligence in this matter.

Reference no: EM133875075

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