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weamp;#39;re going to talk about effective documentation for hospitalized patients this is beyond enm coding and this is a way that you can help the hospital that youamp;#39;re working at Bill effectively for the services they actually provide first you need to make sure that youamp;#39;ve documented well for the enm purposes make sure youamp;#39;re billing and coding appropriately for what you need to do then think about the drgs or diag nois related groups medical these are medical codes used to determine the payment to hospitals they were initially used by Medicare and are now used by most insurers theyamp;#39;re based on a primary diagnosis such as pneumonia or cardiac bypass surgery most problems are represented as a family of drg codes such as the problem alone the problem with a comorbid condition and the problem with a major comorbid condition for example with pneumonia drg 193 is pneumonia 194 is pneumonia with a complicating or comorbid condition and drg 195 is simple pn