Patient medical records and assigning appropriate codes

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Reference no: EM133872235

Question

Nathan works as a medical coder in the billing department of a large hospital. The role involves reviewing patient medical records and assigning appropriate codes for billing purposes. Nathan ensures accuracy and compliance with coding guidelines to facilitate timely and accurate reimbursement for medical services provided. Nathan encounters a complex case involving a patient who underwent multiple procedures during a single hospitalization. Nathan carefully reviews the patient's medical records, which include provider notes, laboratory results, and diagnostic imaging reports. Nathan meticulously assigns the appropriate procedure codes based on the documented information, considering the patient's diagnosis and treatment plan. When would you use charting by exception?

In cases of routine procedures

For emergency medical situations When deviations from the norm are minimal and predictable

For complex medical conditions requiring extensive documentation

Reference no: EM133872235

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