Description
You are performing the tasks of a chart auditor. To complete the Chart Audit activity, review the chart and coding abstract below. Complete the form indicating if you agree or disagree with the coding and the MS-DRG. If you do not agree with the assigned codes, include your corrected code and/or rationale in the spaces provided.
The MS-DRG must be verified using the encoder software. Codes can be verified using either the code book or encoder.
Use the attached Medical Record to complete the Worksheet attached
****MUST BE IN ICD 10 NOT ICD 9*****
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Explanation & Answer
Attached.
Instructions
Assume you are a quality auditor. Using the case study provided, determine whether the
hospital inpatient coder assigned the correct ICD-10-CM codes and sequenced them properly
per UHDDS definitions.
1. Review all codes for accuracy and enter your findings as follows:
a. If the code is corr...