Q: I’ve heard conflicting information about reporting uncertain diagnoses. Do the ICD-10-CM diagnoses need to be documented in the discharge summary/final progress note or can they be coded from an earlier progress note?
Q: If a patient is requesting his medical records via email, so long as our email is encrypted and secure, can we send it? We only have his email on his admission papers, which matches the email address he sent to us.
Q: Do you have any advice for organizations to ensure they're meeting three-day inpatient stay requirements for discharging patients to skilled nursing facilities (SNF)?
