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O​‌‍‍‍‌‍‌‍‍‍‌‌‌‍‌‌‌‌‌‌​verview: In this course, journals are used for reflection. Journal activities in this course are private between you and the instructor. For this journal task, you
will identify coding errors.
Prompt: First, read the AHIMA article “How Does Your Coding Measure Up? Analyzing Performance Data Gives HIM a Boost in Managing Revenue,” then review
the Inpatient Face Sheet for coding inconsistencies and errors. Also review the index of current and accurate ICD-10-CM/PCS guidelines and codes in ICD-10-CM
Coding Guidelines and ICD-10-PCS Coding Guidelines. The above resources are all linked in the 2-2 Journal assig​‌‍‍‍‌‍‌‍‍‍‌‌‌‍‌‌‌‌‌‌​nment in the module.
Using the ICD-10-CM Coding Guidelines page, see if you can find additional discrepancies with this face sheet.
In a journal, address the following critical elements:
• What code errors or discrepancies are apparent in the patient record? Briefly describe the errors or discrepancies.
• Explain the importance of physician documentation in selecting a code.
• In what ways could a query to the physician be used to clarify any discrepancy or deficiency in the record?
• Draft two policy statements that would ensure compliance (i.e., that these errors will not happen in this organization i​‌‍‍‍‌‍‌‍‍‍‌‌‌‍‌‌‌‌‌‌​n the future)

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