Question

A 76- year- old morbidly obese white male , was admitted to facility with acute exacebration of COPD. He is a previous smoker, but has not smoked for the past year because of his breathing issues have continued to worsen. He was started on oxygen and treated with an oral corticosteroid with prophyalatic antibiotics administred. The


progress note of day two states that the pressure ulcer of his right heel (stage 4) was
non- excisional debrided at bed side.
As an auditor, you review the POA status, code assignment, and DRG assignment shown below for this patient stay

J44.1......Y(present on admission)
L89.614.....N
E66.01.........Y
Z87.891.......E(exempt)

1) what is the error, all the POA assignment is correct and what impact on the does on the reimbursement?



what kind of information u need, I already wrote the question awww

4.22 HAC-POA Subdomain IV.A.1 Apply policies and procedure for the use of data que healthcare reimbursement Subdomain IV.A.1

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Answer #1

1.coding N. it is the error. for hospital acquired condition reimbursement is not given.

2. It should be immediately reported . The patient is having arterial insufficiency and mistaken for pressure ulcer. code must be changed. otherwise reimbursement is not given to the client.

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