Scenario Dr. Sandler: Query and Provider Response

Scenario Dr. Sandler: Query and Provider Response Patient Documentation: The patient was admitted for a traumatic injury resulting from a car accident. Fracture of Femur, left, is documented first on the coding summary by Dr. Sandler. HIMQuestion: I note that a radiology report indicates pneumonia, left lobe. If you feel this needs to be added and coded on this account, please make the necessary additions to your documentation, and return to me. Provider Response: “This is Aimee, I’m Dr. Sandler’s nurse. Yes, please add pneumonia, left lobe and code it. Dr Sandler is on vacation this week”. SCIENCE HEALTH SCIENCE NURSING HIM 1126C

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