DRG and Documentation

DRG and Documentation

Documentation is very crucial in any given set up as it gives aIDitional information in relation to the issues at hand.  What is notable is the extent to which data is captured through documentation in comparison to recording in DRG. Documentation will give more room for the patient’s condition to be fully recorded as it entails more details analysis of the patient. This will be crucial in understanding the patient demographic and related features. For instance, a coder will only be able to code CHF for the patient with congestive heart failure in DRG which leaves other crucial issues. It does not permit aIDitional information, which makes documentation necessary (Rollins, 2009).

Another important aspect of documentation is that it ensures coding which hospitals can use to withstand scrutiny. This may be beneficial when doing auditing since hospitals will comply and provide references when needed in comparison with DRG. Documentation provides aIDitional manual references which can be used to validate a claim by any authority unlike DRGs which is for certain information.

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