It's December, the end of a long 2012 for you and your HIM staff. Whether you have 50 coders or five, you may be putting the final touches on an end-of-the-year celebration.
As increasingly more healthcare providers transition to electronic health records (EHR), the need for secure conversion of paper charts to electronic patient documentation also increases.
You're reviewing a case file and discover that a patient's recent readmission is due to a medication prescribing error made by a physician. Do you report it?