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Many coding errors happen because of misunderstanding suspected diagnoses Confirmed Diagnosis Condition is clearly established Provider is certain Code the definitive diagnosis Suspected Diagnosis Condition is not yet confirmed Words like suspected, probable, likely, rule out are used The Golden Rule: Coding depends on the SETTING Inpatient (IPPS): Suspected / Probable / Likely = Code as confirmed Outpatient / Physician / ER / OPD: Do NOT code suspected diagnoses Code signs & symptoms only Always check before coding: 1 Diagnosis wording 2 Patient setting 3 ICD-10-CM Official Guidelines Accurate coding = clean claims & fewer denials

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These scientists believed that different races experienced diseases differently

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