Transcription of Documentation, coding, charging, and billing for ... - AHIA
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Documentation, coding, charging, and billing for ... - AHIA
documentation , coding , charging , and billing for medications Identifying risks and internal audit focus areas 2 documentation , coding , charging , and billing for medications Identifying risks and internal audit focus areas 1 IntroductionMedications administered to patients in both the inpatient and outpatient settings must be properly documented to support the coding and billing requirements for pharmaceutical drugs. The administration of drugs is documented by clinicians in the patient s medication administration record, a component of the patient s permanent medical record. Medical coders and billers abstract the quantity and type of drugs administered from the medical record, assign the appropriate codes, and create a claim to be submitted for reimbursement.
Scripps Health Mueller.Glen@ scrippshealth.org Mark Ruppert, CPA Cedars-Sinai Health System Mark.Ruppert@cshs.org Debi Weatherford, CPA Piedmont Healthcare debi.weatherford@ piedmont.org Kevin Wijayawickrama Principal Deloitte & Touche LLP kevinw@deloitte.com Neetu Khilnani Senior Manager Deloitte & Touche LLP …
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