Becker EHRGO

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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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