Documentation Support for Principal Diagnosis

Assignment Help Management Information Sys

Reference no: EM132468279

CASE: Documentation Support for Principal Diagnosis

You are the coding supervisor at Vale Community General Hospital. An HIM student, Javier, is working with you today. He is looking at some charts and has asked you how you determine if the documentation supports the codes. You decide to walk through the charts with him and explain each one. The principal diagnoses are shown in Table 2-3.

Principal Diagnosis and Explanation
Principal Diagnosis: Explanation:	Pneumonia
Principal Diagnosis: Explanation:	Septicemia
Principal Diagnosis: Explanation:	Respiratory failure
Principal Diagnosis: Explanation:	Congestive heart failure
Principal Diagnosis: Explanation:	Cholecystectomy with cholelithiasis
Principal Diagnosis: Explanation:	Preeclampsia
Principal Diagnosis: Explanation:	Thrombophlebitis
Principal Diagnosis: Explanation:	Cerebrovascular accident (CVA)

What would you tell Javier about each?

Attachment:- Documentation Support for Principal Diagnosis.rar

Reference no: EM132468279

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