Click here for more sample CPC practice exam questions with Full Rationale Answers

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2018 CPC Practice Exam Answer Key 150 Questions With Full Rationale (HCPCS, ICD-9-CM, ICD-10, CPT Codes) Click here for more sample CPC practice exam questions with Full Rationale Answers

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Click here for more sample CPC practice exam questions and answers with full rationale

Discharge Summary Documentation/Workflow

Hey, I am looking to see if other organizations have any information they can share on Discharge Summaries: the documentation requirements, verbiage used, and workflows your facility is currently using.

1. Is the date/time stamp required on a patient’s discharge summary? or can the provider verbiage simply state, "Patient being discharge today." sufficient?
2. Do your physicians do a discharge summary before or after the patient has actually been discharged from the facility?
3. If it is prior to discharge, what is your current workflow?

Our providers have expressed numerous concerns over the years about discharge summaries. It is my understanding that currently, when a physician discharges the patient they create an order and write a summary-now this patient may not be discharged until later in the day. When the patient is finally discharged, the provider now receives an in basket for discharge verification. This can cause deficiencies for the providers and has been raising concerns.

Medical Billing and Coding Forum