HCPro, JustCoding Inpatient - 2016 Issue 41 (November)
Q&A: Querying for acute respiratory failure
November 1st, 2016
Subscribe or sign in to view the full article.
Article Overview
This Q&A article addresses a clinical documentation and coding question involving post-operative extubation, ongoing supplemental oxygen, and the general evaluation of whether acute respiratory failure should be queried. It explains the broader context for assessing oxygenation status using laboratory data and related respiratory indicators, and it is aimed at coding, CDI, and clinical documentation professionals working with inpatient respiratory diagnoses.
Why This Topic Matters
Accurate documentation of respiratory status can affect diagnosis capture, query practices, and code assignment. The article is relevant to professionals who review post-operative respiratory support and documentation for potential acute respiratory failure.
What You Will Learn
- How this Q&A approaches assessment of possible acute respiratory failure after extubation
- What general data points may be reviewed when oxygenation status is in question
- When documentation uncertainty may lead to a physician query
- How the article frames the role of respiratory assessment in clinical documentation review
Who Should Read This
- Clinical documentation integrity (CDI) specialists
- Medical coders
- Inpatient coding professionals
- Hospital documentation reviewers
- Physicians involved in documentation clarification
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com