A 76-year-old morbidly obese white male was admitted to the facility with an acute exacerbation of COPD. He is a previous smoker, but has not smoked for the past year because his b

A 76-year-old morbidly obese white male was admitted to the facility with an acute exacerbation of COPD. He is a previous smoker, but has not smoked for the past year because his breathing issues have continued to worsen. He was started on oxygen and treated with an oral corticosteroid with prophylactic antibiotics administered. The progress note for day two states that the pressure ulcer of his right heel (stage 4) was non-excisionally debrided at the bedside.
As an auditor, you review the POA status, code assignment, and DRG assignment shown below for this patient’s stay.
You conclude there is an error.
1. What is the error, and what impact does it have on reimbursement?
2. What action might need to be taken to justify your conclusion of a coding error?

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