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SuperCoder Posted 3 Year(s) ago


Can the diagnosis on the emergency department orders be used if the diagnosis is not in the dictation? For example ED orders under diagnosis it states Sepsis, however in the dictation, it does not mention Sepsis, it states pneumonia. Are the ED orders used more for R/O diagnosis?

SuperCoder Posted 3 Year(s) ago

The diagnosis mentioned in dictation should be same as orders. If dictation does not include that diagnoses, you may not use order diagnoses and it may attract denial. Thanks !!

Posted by SuperCoder, 3 Year(s). There are 2 posts. The latest reply is from SuperCoder.

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