Health & Medical Medical Coding in Healthcare Delivery Discussion

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Lenore delivers a healthy baby girl. Her medical documentation indicates that she has had a normal delivery with no complications antepartum, during the delivery, or postpartum. How does this information influence which codes you assign? [Tips: Think about Outcome of Delivery code [a Z code -(V37.0-V37.9)] and code for delivery].

You work for a healthcare organization where several physicians are not providing specific information  (i.e., the location of the pain, etc.). Due to the issue, it is impossible for the coder to complete their work.  Keeping in in mind that a code is invalid if it has not been coded to the full number of characters available for that code. If appropriate documentation is not provided by the physician, the coder cannot complete their work, and the insurance company will return the claim to request additional information, thereby delaying payment. How would you handle this situation? What would you do? What would you recommend to correct the problem?

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