Asked by Sophia Turgeon on Jun 18, 2024
Verified
The seven steps of accurate coding include:
A) coding only documented conditions.
B) coding the problems told to you by the nurse.
C) coding only the chief complaint.
D) coding the patient's history.
Chief Complaint
The primary symptom or health issue that a patient states as the reason for seeking medical care.
- Absorb the relevance and techniques necessary for precise medical coding.
- Understand the impact of coding accuracy on healthcare documentation and billing.
Verified Answer
LA
Laurina ArchilleJun 18, 2024
Final Answer :
A
Explanation :
Accurate coding involves only coding the conditions that are documented in the medical record. This ensures that the codes accurately reflect the patient's health status and the services provided. Coding should never be based on assumptions or information provided by someone other than the healthcare provider documenting the patient's care. While the patient's history may be a factor in coding decisions, it should never be the only consideration. Similarly, the chief complaint alone may not provide enough information for accurate coding.
Learning Objectives
- Absorb the relevance and techniques necessary for precise medical coding.
- Understand the impact of coding accuracy on healthcare documentation and billing.