At final coding, working diagnoses in the encoder differ from the attending's authenticated final diagnostic statement. What validation step is required?
Select an answer to reveal the explanation.
Short Explanation
Working codes are sticky notes; the signed final diagnosis list is the poster on the wall. Before you drop the bill, make the coded set match that authenticated finale. First-in CAC drafts do not win by seniority.
Full Explanation
Final coding must reflect the validated discharge documentation, including the attending's authenticated final diagnoses and any reconciled procedure statements. Working or CAC-proposed codes may change as the clinical picture evolves. Coders reconcile discrepancies rather than blending conflicting lists or submitting duplicate claim logic. This validation step ensures the billed code set matches the legal record at discharge.