Search found 51 matches

by brownlee47
Fri Jan 11, 2019 4:29 pm
Forum: Medical Auditing Forum
Topic: HIV Template-help
Replies: 1
Views: 385

HIV Template-help

Provider has created a template for HIV visit: What elements can be validated for the HPI? I get duration for how long pt has had dz, modifying factors for the meds being taken can I use no symptoms as an associated sign and symptom if the documentation indicates patient having no symptoms. What els...
by brownlee47
Tue Dec 25, 2018 1:27 pm
Forum: Medical Auditing Forum
Topic: Risk Coding
Replies: 1
Views: 390

Risk Coding

I am having a difficult time understanding when I need to give credit for additional diagnosis that have been added for risk management. the dx are not addressed in the HPI or not made relevant, the dx are only in the A/P and identifying MEAT. I have noticed an higher level of care from providers. I...
by brownlee47
Fri Jul 20, 2018 7:49 am
Forum: Medical Compliance Forum
Topic: behavioral health
Replies: 2
Views: 1914

Re: behavioral health

correction can the psy bill the 90832 and medical bill 99213 on same dos?
by brownlee47
Wed Jul 18, 2018 9:19 am
Forum: Medical Auditing Forum
Topic: MLN special edition
Replies: 0
Views: 630

MLN special edition

mln connect special edition 7-17-2018.pdf
(126.99 KiB) Downloaded 119 times
What do you think about this?
by brownlee47
Wed Jul 18, 2018 7:09 am
Forum: Medical Compliance Forum
Topic: behavioral health
Replies: 2
Views: 1914

behavioral health

mental health and primary billed on the same dos. psychologist can't write rx for the mental health can, so the patient see's medical for rx refills and other medical conditions. Can the medcal provider bill 99213 and psychologist bill 90633 or do the mental health provider bill both pieces?
by brownlee47
Fri May 18, 2018 7:34 am
Forum: Medical Compliance Forum
Topic: Xray billed
Replies: 2
Views: 1949

Re: Xray billed

Thank you so much for your insight, We are on the same page.
We were in agreement that you can't bill for something that you got free and had decided that billing the TC component only.
by brownlee47
Thu May 17, 2018 3:21 pm
Forum: Medical Compliance Forum
Topic: Xray billed
Replies: 2
Views: 1949

Xray billed

If an organization own the x-ray equipment and employs the technician, but sends the films out to be read by a radiologist who volunteer his services to the organization, he do not charge for his service, he is not paid by the organization (strictly voluntary service) nor does he bill any insurance,...
by brownlee47
Tue Oct 10, 2017 8:36 am
Forum: Medical Auditing Forum
Topic: 1-2 chronic HPI
Replies: 2
Views: 845

Re: 1-2 chronic HPI

Cahaba is my MAC. my concern is when she indicates 1-2 chronic condition she is allowing an brief without counting HPI elements and its on the report, I don't want my providers to think that it's acceptable.
by brownlee47
Fri Oct 06, 2017 8:46 am
Forum: Medical Auditing Forum
Topic: 1-2 chronic HPI
Replies: 2
Views: 845

1-2 chronic HPI

We are going through internal audit, and the auditor is using status of 1-2 chronic as HPI element. I'm not understanding how that works. I understand and find documentation to support the status of 3 chronic but nothing on 1-2 chronic. Can someone shed insight please.
by brownlee47
Mon Aug 22, 2016 2:02 pm
Forum: Medical Auditing Forum
Topic: Group nutrition
Replies: 1
Views: 1020

Group nutrition

When auditing 97804- What documentation do I need to see?