Coding From Active Problem List May 23 2024 nbsp 0183 32 If a diagnosis is on the active problem list supported in the body of the medical record and meets UHDDS reporting criteria some organizations permit it to be coded Others require the diagnosis be carried
May 22 2024 nbsp 0183 32 Can you code from a problem list This article provides definitive references facility specific recommendations and suggestions for problem list maintenance Oct 10 2017 nbsp 0183 32 IF we see something on the Active Problem List that IS supported it is coded If we see a significant condition that is not supported a query would be required for it to be coded
Coding From Active Problem List
Coding From Active Problem List
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2 Problem List content a Outpatient problems The Problem List must be a concise patient centered list of the patient s active or chronic medical problems Examples Recurrent Oct 26 2017 nbsp 0183 32 Would you code from history of present illness past medical history active problem list or the assessment A Follow the coding guidelines when reporting diagnosis
Jun 14 2022 nbsp 0183 32 Coders may only assign ICD 10 codes from the documentation of the current encounter Per the ICD 10 guidelines a diagnosis requires provider s documentation that the Nov 5 2014 nbsp 0183 32 The problem list is a required feature of certified EHRs and must be used by providers in order to attest for Meaningful Use starting with Stage 1 Prior to Meaningful Use
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May 3 2021 nbsp 0183 32 These include the scope of the problem list who has the authority to update a list and resolve problems what is the proper workflow for developing the list and who maintains the sets of terms used to code the problem list Feb 3 2015 nbsp 0183 32 Among the answers is a question we get very frequently Is it okay to code from a problem list To find out check out the CMS User Group Q and A s on HCC University Posted
Mar 1 2012 nbsp 0183 32 Our coders do not code from the Cerner problem list But the Cerner problem list can be used to populate the physicians PowerNote If they use PowerNote and they have a Mar 2 2023 nbsp 0183 32 Each record in the Problem List can include an ICD 10 code ICD 10 code description a personalized title the onset date of the issue condition the status of the
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Coding From Active Problem List - Oct 26 2017 nbsp 0183 32 Would you code from history of present illness past medical history active problem list or the assessment A Follow the coding guidelines when reporting diagnosis