Transcription of and Coding of Complications
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and Coding of Complications
2016 HCPro, a division of BLR. All rights reserved. These materials may not be duplicated without express written S. Gold, MDPresident, DCBA, , GAPresented by Cesar M. Limjoco, MDDocumentation and Coding of Complications2 Learning Objectives At the completion of this educational activity, the learner will be able to: Discuss concepts and reasons for assignment of complication codes Explore the impact of reporting complication codes Analyze the difference between assigning complication codes for money and for accuracy of patient data Describe the importance of utilizing clinical understanding of diseases that may exist contemporaneously with surgery List tips and hints for evaluating your processes and disseminating information to clinicians3 Historical Perspective CC is defined as Complications and comorbidities Grading companies used to lump them all together as Complications (Solucient, AHRQ, Healthgrades, UHC, etc.)
• Atelectasis may exist preop in morbidly obese patients (obesity hypoventilation syndrome) or patients with obstructive airway disease (bronchiectasis, cystic fibrosis) or other obstruction (malignancy, foreign body, stricture) • All patients after major chest surgery may have atelectasis seen
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