| Abstrakt: |
The article offers tips on documenting pulmonary diagnoses. According to the author, clinical documentation should include records related to the care of patients during their stay in the hospital, which may cover illness severity, quality management and mortality risk. She states that good documentation minimizes coding errors and has the potential to reduce claims denials and optimize reimbursement. She states that improper coding is often caused by lack of proper documentation by physicians. |
