1. A patient was admitted for unstable angina due to coronary artery disease (CAD) per the...

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1. A patient was admitted for unstable angina due to coronary artery disease (CAD) per the attending's admitting note. The patient also has the following conditions: atrial fibrillation, hypertension, bypothyroidism and Type 2 diabetes. The cardiologist performs a left heart catheterization with two cath, coronary arteriography and left heart angiogram. He dictates the final results of the procedure as mild coronary artery disease with atypical chest pain. The patient only stayed one day and there are no other notes from the attending physician. The coder writes the following query using a standard query form. The coder's inquiry is in red. Patient name: Roger Kirn Admit date: 1-27-XX Discharge date 1-28-XX Medical record no. 155-171 Account no: 000493049 Coder name: Angie Jones Coder phone number: 555-1515 The documentation in this patient's record requires clarification to ensure coding compliance and accuracy. Please complete, sign, date, and return the following query. The following information is recorded in the progress notes: Admitting diagnosis is unstable angina. The cardiac cath report states atypical chest pain. I have the following question about this record: Is the condition after study responsible for the admission unstable angina or atypical chest pain. If the unstable angina with CAD is used as principal diagnosis, the DRG is 124 with a relative weight of 1.4425. If the atypical chest pain is used as the principal diagnosis, the DRG is 125 with a relative weight of 1.0948. The difference in hospital reimbursement is approximately $1675.00 Please respond to this question in the space below. Physician signature Date Is this a compliant physician query? If no, explain why. 1. A patient was admitted for unstable angina due to coronary artery disease (CAD) per the attending's admitting note. The patient also has the following conditions: atrial fibrillation, hypertension, bypothyroidism and Type 2 diabetes. The cardiologist performs a left heart catheterization with two cath, coronary arteriography and left heart angiogram. He dictates the final results of the procedure as mild coronary artery disease with atypical chest pain. The patient only stayed one day and there are no other notes from the attending physician. The coder writes the following query using a standard query form. The coder's inquiry is in red. Patient name: Roger Kirn Admit date: 1-27-XX Discharge date 1-28-XX Medical record no. 155-171 Account no: 000493049 Coder name: Angie Jones Coder phone number: 555-1515 The documentation in this patient's record requires clarification to ensure coding compliance and accuracy. Please complete, sign, date, and return the following query. The following information is recorded in the progress notes: Admitting diagnosis is unstable angina. The cardiac cath report states atypical chest pain. I have the following question about this record: Is the condition after study responsible for the admission unstable angina or atypical chest pain. If the unstable angina with CAD is used as principal diagnosis, the DRG is 124 with a relative weight of 1.4425. If the atypical chest pain is used as the principal diagnosis, the DRG is 125 with a relative weight of 1.0948. The difference in hospital reimbursement is approximately $1675.00 Please respond to this question in the space below. Physician signature Date Is this a compliant physician query? If no, explain why.

Answer rating: 100% (QA)

The detailed answer for the above question is provided below No this is not a compliant physici... View the full answer