Search found 19 matches

by kaydlady
Wed Oct 12, 2016 10:06 am
Forum: Medical Auditing Forum
Topic: Pulse Ox
Replies: 1
Views: 1290

Pulse Ox

Hello, Many of our FP practices has adopted the pulse ox as protocol with the vital signs. I am aware that CMS states that this is not a vital sign and falls under the medicine section. My question is do we count it like a lab when calculating the MDM. The provider did not order it specifically beca...
by kaydlady
Wed May 25, 2016 9:33 am
Forum: Medical Auditing Forum
Topic: STATUS OF 3 CHRONICS FOR 95 GUIDELINES
Replies: 1
Views: 1876

STATUS OF 3 CHRONICS FOR 95 GUIDELINES

Good Morning, Has anyone heard that recently Palmetto has rescinded the decision to use the status of three chronics with the 95 guidleines back to the original guidelines to only use them with the 97 guidelines? Someone heard this at our office and we need to know if it is a misunderstanding or cor...
by kaydlady
Wed Jan 27, 2016 3:13 pm
Forum: Medical Auditing Forum
Topic: exam
Replies: 0
Views: 2563

exam

I have several providers (specialist) that are starting to document both the 95 and the 97 specialty exam. I know we should audit with both and use which ever works best for the provider but the problem is they are using a portion of each. So I can get a complete 95 if I break up some of the Neuro e...
by kaydlady
Mon Jan 18, 2016 2:41 pm
Forum: Medical Auditing Forum
Topic: Time Based Documentation
Replies: 2
Views: 2857

Re: Time Based Documentation

Hi Shannon,
Is there guidance to say that a provider cannot use time based coding for every visit? this provider a GYN is using time for every visit. I know there is some time built into the E&M for questions from patient. Every visit is time based! ;)
by kaydlady
Thu Dec 31, 2015 12:54 pm
Forum: Medical Auditing Forum
Topic: AWV IPPE
Replies: 1
Views: 4538

AWV IPPE

I was asked to reach out and find out how do you handle this situation, when we perform an audit and we cannot locate the copy of the patients screening plans for an AWV or IPPE, Do you throw out the IPPE/AWV completely or give it to them and educate the provider ???
by kaydlady
Mon Dec 14, 2015 10:22 am
Forum: Medical Auditing Forum
Topic: COPY AND PASTE
Replies: 1
Views: 1944

COPY AND PASTE

I was at the conference and it was stated that we should review each note to stand on it's own without looking at the note before. Well, I can not because the provider is on 100% review for poor documentation and billing. Would you take away becuase of a copied and pasted HPI and most of the asessme...
by kaydlady
Tue Nov 03, 2015 1:11 pm
Forum: Medical Auditing Forum
Topic: CONTACT
Replies: 3
Views: 2262

Re: CONTACT

I just tried that email address and it came back again. Apparently it is bouncing to another person's inbox, C Ball and that box is closed. Here is the message that came back, The mail system This is the mail system at host fwd1.pairnic.net. I'm sorry to have to inform you that your message could no...
by kaydlady
Tue Nov 03, 2015 7:49 am
Forum: Medical Auditing Forum
Topic: CONTACT
Replies: 3
Views: 2262

CONTACT

Who do we contact by email when we have questions about our membership or CEU's? I tried the contact email and it came back undeliverable.
by kaydlady
Fri Oct 23, 2015 11:17 am
Forum: Medical Auditing Forum
Topic: high toxic medication
Replies: 1
Views: 1802

high toxic medication

Hello I need help with auditng for high toxic drug. The cardiologist at our facility sometimes prescribe Xarelto. A few of the providers state it is a high toxic med like coumadin. Others say it isn't that big of a deal as coumadin. Should I give them credit for a drug therapy requiring intensive mo...
by kaydlady
Fri Aug 21, 2015 8:44 am
Forum: Medical Auditing Forum
Topic: Admission H&P
Replies: 1
Views: 2360

Admission H&P

I am running into this issue more often now. The H&P for inpatient admission and initital Observation, where the provider does the note several days after the documented admission date of service. And when they finally create the note, it has the date of creation and not the actual admit date of the...