Clinical Docuemnation improvement

wn001fnapurm
timer Asked: Feb 25th, 2018

Question Description

Your facility received an initial DRG validation denial letter from the RAC. The case scenario includes a 75-year-old patient admitted through the Emergency Department for renal failure and COPD exacerbation. The reason for admission is COPD exacerbation. The physician also documented protein-calorie deficiency malnutrition in the discharge summary. The Clinical Documentation Specialist notices that the physician’s supporting documentation is missing, including whether this condition was present of admission.

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Jacqueline Sanchez HIM 6509 Assignment 3 Due 2/25/18 COPE Exacerbation
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