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Emergency Department Coding & Reimbursement Alert

You Be the Coder:

Who can Record the PFSH?

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: [...]