Systems and methods for coding data from a medical encounter
Abstract:
Systems and methods assist in gathering relevant data in a doctor-patient encounter for obtaining a properly specified diagnosis code. In one embodiment, selectable data items which are provided as part of a medical charting program may be correlated with one or more standardized diagnosis codes (e.g. ICD-10 codes). Upon selection of the appropriate data items when charting a patient encounter, one or more diagnosis codes which are correlated with the selected data items may be flagged and/or generated for later use, such as for filing a claim submission as part of a billing process or to further enhance the clinical workflow of patient encounter documentation.
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