Hi and thank you for your comment. It should be noted that documentation should not be performed to "coding rules". In other words, complete and accurate documentation is the goal regardless of coding and reimbursement. It is a legal record in case of treatment disputes (appropriateness, etc.), it is used for research, continuity of care, and more. Coding is a downstream task that relies on documentation. In fact, coding should never be performed to "achieve" a desired reimbursement. The documentation is the driver of reimbursement, not the other way around.
Umm that is great to have all the info above for Cid nurses but if not aware the national coding rules....proper reimbursement maybe lacking.
Hi and thank you for your comment. It should be noted that documentation should not be performed to "coding rules". In other words, complete and accurate documentation is the goal regardless of coding and reimbursement. It is a legal record in case of treatment disputes (appropriateness, etc.), it is used for research, continuity of care, and more. Coding is a downstream task that relies on documentation. In fact, coding should never be performed to "achieve" a desired reimbursement. The documentation is the driver of reimbursement, not the other way around.