Documentation Improvement Handbook 10-19-11 PROOF.PDF
Establish cause and effect; eg., anemia secondary to acute blood loss from hemorrhagic ulcer. Neuro: Dementia - specify cause/type - “Alzheimer’s” Encephalopathy (type), Acute Stroke (cerebral infarction) TIA, cerebral edema, seizure disorder, late effects of a stroke (noting if … ................
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