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

Inpatient Admission Documentation Requirements

I have a physician stating that the documentation does not require a remark stating the patient was admitted. (IE: I am admitting John Doe today due to his high blood pressure) My understanding that this should be included in the documentation but I am unable to find any guidelines stating so. Looking for any information available for guidance.

Thank you :)

Medical Billing and Coding Forum