Match the coding process example with the appropriate action. Abstract the Documentation Query, (if necessary) Code the Diagn

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Match the coding process example with the appropriate action. Abstract the Documentation Query, (if necessary) Code the Diagnosis or Diagnoses Carefully read one letter or number at a time to catch and correct any typos. Create query using nonleading open-ended, or multiple option questions. Determine whom you are reporting codes for to ensure the correct code book is used Code each procedure, service, or treatment describing what the provider did for the patient. Identify the main terms for diagnosis and procedure Read the documentation from beginning to end. Code the Procedure or Procedures Confirm Medical Necessity Double Check Your Codes Reread the full description, all notations or guidelines, and symbols. Code each diagnosis and/or signs or symptoms describing why the patient was seen. Make a list of questions regarding unclear or missing information in the documentation Ensure each procedure code is supported by a minimum of one diagnosis code. Reset
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