Section I of the Official Guidelines for Coding and Reporting includes guidelines for the __________.
a. coding and reporting of outpatient diagnoses (e.g., physician offices)
b. reporting of additional diagnoses (e.g., coexisting conditions, complications)
c. selection of the principal diagnosis for nonoutpatient settings (e.g., nursing facility)
d. structure and convention of the classification, including general guidelines
Question 2
To determine the reason for an encounter and the conditions treated, coders should review the __________ because providers will often document additional information about a condition elsewhere.
a. discharge summary and face sheet
b. list of diagnoses and procedures
c. patient record in its entirety
d. submitted health insurance claim
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