lhoot
Guest
Getting some new responsibilities at work and need some assistance in E/M coding for inpatient visits. If anyone has any good resources on doing these, I would be very grateful. In the meantime, I have a couple questions.
Patient has been admitted for several days. Progress note lists a plethora of conditions being treated. The primary reason for admission is acute on chronic chf, for which diuresis treatment is being done. A particular visit note, day 7, states patient denies any acute complaints. Medication management noted. Also noted is that the patient will need to continue inpt admission while continuing diuresis.
1. When assessing the risk for this visit, would this be high or moderate? Patient is not as critical as she was on admission and seems to be getting better, but needs a little more time for treatment. The need for inpt services would generally indicate the condition or treatment to be high risk, so would the need to be admitted or continue admission be inherently high risk?
2. For number and complexity of problems addressed, 4 conditions would be an extensive level of diagnosis/management options. If the patient has 9 conditions (several chronics) being addressed/treated/monitored, this would equate to an extensive level, correct?
Thank you in advance for any help.
Laura
Patient has been admitted for several days. Progress note lists a plethora of conditions being treated. The primary reason for admission is acute on chronic chf, for which diuresis treatment is being done. A particular visit note, day 7, states patient denies any acute complaints. Medication management noted. Also noted is that the patient will need to continue inpt admission while continuing diuresis.
1. When assessing the risk for this visit, would this be high or moderate? Patient is not as critical as she was on admission and seems to be getting better, but needs a little more time for treatment. The need for inpt services would generally indicate the condition or treatment to be high risk, so would the need to be admitted or continue admission be inherently high risk?
2. For number and complexity of problems addressed, 4 conditions would be an extensive level of diagnosis/management options. If the patient has 9 conditions (several chronics) being addressed/treated/monitored, this would equate to an extensive level, correct?
Thank you in advance for any help.
Laura