Becker EHRGO
.docx
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School
Dakota State University *
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Course
370
Subject
Health Science
Date
Jun 19, 2024
Type
docx
Pages
2
Uploaded by CountLyrebirdMaster720
Knowledge Activity: Inpatient Coding
(Becker)
Learning objectives 1.
Apply
current knowledge of electronic health records and location of information.
2.
Locate
structured and unstructured data in the patient chart for coding purposes.
3.
Use
outside resources in determining appropriate codes.
Student instructions
1.
If you have questions about this activity, please contact your instructor for assistance.
2.
You will review the chart of Regina Becker
to complete this activity. Your instructor has provided you with a link to the Inpatient Coding (Becker)
activity. Click on 2: Launch EHR to review the patient chart and begin this activity.
3.
Refer to the patient chart and any suggested resources to complete this activity.
4.
Document your answers directly on this activity document as you complete the activity. When you are finished, you will save this activity document to your device and upload this activity document with your answers to your Learning Management System (LMS).
The activity
Review the contents of the chart. Using your textbook and online resources, assign codes in the following table. Student Name: Patient data
or codes
Notes or comments (if applicable)
Patient Name
Regina Becker
MRN
MR22578
Facility Type
Inpatient
Service Location
General Hospital
Days or Units
2 Days
EHR Go Knowledge Activity: Inpatient Coding (Becker) CK1010.4
1
Archetype Innovations LLC ©2024
Principal Diagnosis Code
I63.9
Cerebral infarction, unspecified
Secondary Diagnosis Code(s) (list all applicable)
G81.91
Hemiplegia, unspecified affecting right side dominant side
R47.01
Aphasia
I10
Essential (primary) hypertension
I48.91
Unspecified atrial fibrillation
E03.9
Hypothyroidism, unspecified
M19.90
Unspecified osteoarthritis, unspecified site
Z86.711
Personal history of pulmonary embolism
Principal Procedure Code
3E03317
Introduction of Other Thrombolytic into
Peripheral Vein, Percutaneous Approach
Principal Procedure Date
04/10/2023
Principal Procedure Provider
Kim Anderson, RN
Secondary Procedure Code(s)
(list all applicable)
MS DRG Code
062
Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic agent with CC
Submit your work Document your answers directly on this activity document as you complete the activity. When you are finished, save this activity document to your device and upload this activity document with your answers to your Learning Management System (LMS). If you have any questions about submitting your work to your LMS, please contact your instructor.
EHR Go Knowledge Activity: Inpatient Coding (Becker) CK1010.4
2
Archetype Innovations LLC ©2024
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