Heart Failure Checklist DRG 291–293

Published 02/28/2025

Heart Failure Checklist DRG 291–293 Yes No N/A
Is the documentation provided for the correct beneficiary?      
Is the documentation provided for the correct dates of service?      
Are the correct ICD-10 codes being used for services provided?      
Does the documentation include the emergency department (ED) notes, if applicable?      
Does the documentation include a relevant history and physical to include symptoms and pertinent findings due to heart failure?      
Does the documentation indicate if the symptoms are new or worsening?      
Does the documentation include treatments tried, failed, and/or contraindicated, including pharmacologic therapy, if applicable?      
Does the documentation include diagnostic images, e.g., echocardiogram (ECHO), electrocardiogram (ECG or EKG), chest X-ray?      
Does documentation include labs and results?      
Does documentation include progress notes (physician, nurses, etc.)?      
Does documentation include orders signed and dated?      
Does the documentation include consultations, referrals, and/or follow-ups?      
Does the documentation include the discharge summary, social worker, and/or caseworkers notes?       

 


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