New Diagnosis

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New Diagnosis

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To add diagnosis codes to an account, make sure that Diagnosis is selected from the drop-down menu. Then select New Diagnosis. The Diagnosis List screen will display.

 

 

Select Web Client > System Menu > Hospital Base Menu > Patient Account # > Medical Records > Grouper > Diagnosis > New Diagnosis

 

wc add dx

Diagnosis List

 

 

Billing Code Set: Displays the code set currently accepted by the Financial Class. Typically, this will be ICD-10.

 

Filter: Provides the ability to search for diagnosis code by Description or ICD-10.

 

Search: Allows the ability to search by description or ICD-10, depending on the selection made in the Filter field.

 

 

Once the search criteria is entered the search results will display in the Diagnosis Lookup List. Double-click the desired code to move it to the Selected Diagnosis list.

 

 

Select Web Client > System Menu > Hospital Base Menu > Patient Account # > Medical Records > Grouper > Diagnosis > New Diagnosis

 

wc add dx list

Diagnosis List

 

 

Selecting a diagnosis from Diagnosis Lookup List that has an asterisk (*) in any column will allow the best grouping for the diagnosis.

 

If a diagnosis code is added to the Selected Diagnosis list in error, double-click the code to remove it.

 

Duplicate Diagnosis cannot be entered. If a duplicate code is selected, the system will display a warning message: “Duplicate Code”.

 

Continue adding diagnosis codes until all the diagnoses are listed in the Selected Diagnosis list. When finished, select Update. The Diagnoses screen will then display.

 

 

Select Web Client > Application Drawer > System Menu > Hospital Base Menu > Patient Account # > Medical Records > Grouper > Diagnosis

 

wc add dx list 2

Diagnoses

 

 

NOTE: Facilities participating in the Electronic Case Reporting objective for Meaningful Use 3 may have a Case Report sent to a Public Health Agency when an Diagnosis entered here matches a diagnosis in the Trigger Code Table. Additional setup is required for this functionality. For more information please contact a TruBridge Support Representative.