Describe the patient care flow and associated documentation in the inpatient setting.
Discuss the importance of the UHDDS and its relationship to diagnostic coding.
Define the term principal diagnosis as it relates to the inpatient setting.
Describe the specific sequencing rule that is followed when multiple diagnoses are documented.
Apply diagnostic coding sequencing rules to these coding situations:
(a) two or more principal diagnoses, (b) treatment plan not carried out, (c) complications, and (d) uncertain diagnoses.
Understand the use of E codes in reporting complications in the inpatient setting.
Describe the guideline for selecting the principal diagnosis following admission from an observation unit and outpatient surgery.
Discuss the criteria for reporting additional diagnoses.
Define POA and describe how it is assigned.
Based on diagnostic statements, correctly assign diagnosis codes for the inpatient setting.
