HCPro, JustCoding Inpatient - 2015 Issue 8 (February)

Q&A: What are the rules for using information on ambulance forms or trip tickets?

February 25th, 2015

Q: Can CDI programs use the information on ambulance forms or trip tickets to abstract from if the information is pulled into or reiterated in the ED or history and physical (H&P) documentation? Our staff doesn’t want to miss criteria that would diminish our ability to substantiate the true severity of illness of some patients, but I have been informed that coders are not allowed to code from ambulance papers or information.

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