Health Information Management

Pay-per-view: Dig into the details of wound care documentation

APCs Insider, May 6, 2011

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Documentation is central to accurate coding and reimbursement. It justifies treatment, supports the diagnosis, and captures patient severity and acuity. None of that comes as a surprise to coders, who often have to deal with documentation shortcomings.

Some patient information, such as age, address, and insurance carrier, is simple and easy to find. The clinical information, documentation, and data, however, can be very complex, says Gloryanne Bryant, RHIA, RHIT, CCS, CCDS, regional managing director of HIM (Northern California Revenue Cycle) for Kaiser Permanente in Oakland, CA. "Lots of different rules and caveats surround that information," Bryant says.

Continue reading “Dig into the details of wound care documentation” on HCPro’s website. Subscribers to Briefings on APCs have free access to this article in the May issue.

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