Health Information Management

Accurately document hemorrhage severity

Briefings on Coding Compliance Strategies, January 1, 2009

Get to know your bleeds to ensure proper coding by Robert S. Gold, MD Consider the following scenario: A 67-year-old male nursing home patient is found on the floor outside of his bathroom. He is covered with a black, gooey substance that has also filled the toilet. His blood pressure is 90/64 mm Hg, and his pulse is 122 bpm. During the trip to the hospital, he receives a liter of lactated Ringers solution wide open. A second liter is running.

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