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Evaluation of Inpatient Clinical Documentation Readiness for ICD-10-CM

This research study examined the gaps in documentation that occur when coding in ICD-10-CM. More than 4,000 diagnoses from all chapters were coded from 656 electronic documents obtained from a large integrated healthcare facility at the time the study was conducted (2012). After the documents were c...

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Bibliographic Details
Main Authors: DeAlmeida, Dilhari R., Watzlaf, Valerie J., Anania-Firouzan, Patti, Salguero, Otto, Rubinstein, Elaine, Abdelhak, Mervat, Parmanto, Bambang
Format: Artigo
Language:Inglês
Published: American Health Information Management Association 2014
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Online Access:https://ncbi.nlm.nih.gov/pmc/articles/PMC3995487/
https://ncbi.nlm.nih.gov/pubmed/24808815
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