You Be the Coder:
Who can Record the PFSH?
Published on Mon Apr 17, 2017
Question: Our ED record pulls information such as this from nursing documentation: Past Medical History (As documented by Nursing): Angina, Hypertension, Stents, Other: elevated cholesterol; Other: emphysema on PET scan;
Other: diabetic neuropathies; Arthritis, Back pain, Fractures of lower extremities,
Fractures of upper extremities; Diabetes Type II, Other: had been on metformin-but has been taken off; Constipation; Cataract, Other: [...]
to read the article