The coder should rely solely on the discharge summary to capture all of the diagnoses and procedures that were treated and performed.

Question

Quizplus · Accepted Answer

The coder should not rely solely on the discharge summary as it may not include all diagnoses and procedures that were treated and performed. It is recommended to also review the entire medical record and consult with the healthcare provider for clarification if needed.

The Coder Should Rely Solely on the Discharge Summary to Capture