Health Information Management

Coder speak: It's almost a different language

HIM Briefings, September 1, 2010

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One of the most important aspects of documenting your evaluation and treatment of inpatients in the medical record is providing the verbiage that meets your goals for describing your patient. When you provide the right words, the coders assign the right codes.

This is an excerpt from a member only article. To read the article in its entirety, please login or subscribe to HIM Briefings.

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