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ResiCAT User Manual
Version 1.4
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7.2
C
LASSIFICATION OF
C
ODING
C
HANGES
– R
EASON FOR
E
RROR
Australian Coding Standard
The coder has failed to adhere fully to an Australian Coding Standard.
It is recommended that, if it is clear that the coder understands a Standard such as those relating to
smoking status, allied health interventions or anaesthesia but has simply missed the code, then designate
the error as ‘Missed documentation’.
Missed Documentation
The coder has apparently not reviewed the record thoroughly and has therefore failed to abstract
relevant, readily‐available information.
Other coder error
The coder has made an avoidable error that does not fit into either of the first two categories.
Poor source documentation
The coder and auditor codes are different but the auditor has assessed that the source documentation
was of sufficiently poor quality that the coder’s choice of code was understandable.
Other
This category is provided for unavoidable errors such as might be caused by a computer system error or
the requirement to include a code because of a local coding rule.