CDI “GOLDEN RULES”
CDI “GOLDEN RULES” Please write legibly (unusable by anyone for anything if illegible!!) Please use the “problem specific” approach for all charting
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acdis.orgPre‐op evaluation is notable for mild, stable dyspnea on exertion. 02 Sat, exam, CXR, and EKG are unremarkable. Patient undergoes laparoscopic cholecystectomy and is slow to awaken from anesthesia. After two hours his sats remain 90% on Venti ‐mask associated with lethargy. The surgeon admits him to
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acdis.org1. Valid DRG Diagnosis is the foundation of further evaluation, treatment, appropriate disposition, and accurate coding. 2. Diagnosis must be reflective of, and consistent with, established clinical criteria 3. Listing of symptoms is not a substitute for a valid DRG diagnosis. 4. Goal is for clinical documentation to accurately reflect clinical ...
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