code

A resident who was not able to move his joint--required passive range of motion--would be coded as a limitation in range of motion.

If the physician documents the hematocrit drop as such and provides a treatment plan, such as "will treat with iron or will follow hematocrit (and repeats it), then you have provided adequate documentation for the case to be coded to DRG 148: major large and small bowel procedures with a cc.

Although the amount of time a resident is awake during the day is generally coded by the activities department, nursing assistants should capture time-awake information on a daily flow sheet, If this information is not correctly captured, it could result in a resident being erroneously assigned to a RUG III category below clinically complex, reducing reimbursement by $6 to $48 per diem.

For example, when a child with a broken arm is examined, is the encounter coded as an E&M visit or a procedure visit?

As with other VERTEK products, this program is designed and coded from the ground up to perform its specialized function.