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Wiki Discharge Dx

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mastovichta@upmc.edu

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Murrysville, PA
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If coding for Risk Adjustment within a health plan for outpatient services, is it safe to take all information from a discharge summary. Not just the discharge dx listed, but can you for example code a V46.11 respirator dependency status that is documented within the note which was done 2 days prior to discharge?
 
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