Search found 9 matches

by crickets99
Wed Nov 06, 2019 9:32 am
Forum: Medical Auditing Forum
Topic: Family history of alive or age (credit or no credit)
Replies: 0
Views: 420

Family history of alive or age (credit or no credit)

Family history of alive or age (Only) is or is not acceptable documentation to give credit?

Thanks,
Ann
by crickets99
Wed Jul 10, 2019 9:16 am
Forum: Medical Auditing Forum
Topic: Help with HPI
Replies: 2
Views: 2575

Re: Help with HPI

Has this question been answered?
by crickets99
Tue Oct 23, 2018 12:08 am
Forum: Medical Auditing Forum
Topic: Auditing CAPD
Replies: 2
Views: 985

Re: Auditing CAPD

Thank you, Shannon
by crickets99
Mon Sep 17, 2018 6:45 pm
Forum: Medical Auditing Forum
Topic: Auditing CAPD
Replies: 2
Views: 985

Auditing CAPD

Hello, has anyone audited a medical record on Continuous ambulatory peritoneal dialysis (CAPD) for documentation and billing 90999 2016/2017? if so, what references did you use?

Thanks for your assistance
by crickets99
Thu Nov 09, 2017 11:25 pm
Forum: Medical Auditing Forum
Topic: Neurology Exam
Replies: 2
Views: 971

Re: Neurology Exam

Thank you Shannon for your reply.
by crickets99
Tue Oct 24, 2017 9:53 pm
Forum: Medical Auditing Forum
Topic: Neurology Exam
Replies: 2
Views: 971

Neurology Exam

Is there a standard documentation requirement for a Neurological exam, specific to MMSE and cranial nerves? Another words can you document 30/30 and circle MMSE and CN 2-12 Nl with no other documentation to support it? The MMSE is included and not available for audit. Any help on where I can go for ...
by crickets99
Mon Dec 19, 2016 10:53 pm
Forum: Medical Auditing Forum
Topic: Second degree Laceration documentation
Replies: 0
Views: 1135

Second degree Laceration documentation

Hello,

Looking for documentation guidelines for a second degree laceration in an delivery note. What does the physician/surgeon need to have in his/her clinical documentation?

Thank you,
Ann
by crickets99
Sun Apr 24, 2016 11:29 pm
Forum: Medical Auditing Forum
Topic: Hospice
Replies: 3
Views: 2782

Re: Hospice

If you are only coding diagnoses, can you use the physician statement and the H&P by the referring physician referring to Hospice? Is there any references out there for gathering the proper diagnoses to use for the start of care? Do you have to include every diagnoses from the patients history as we...
by crickets99
Tue Jan 19, 2016 2:31 pm
Forum: Medical Auditing Forum
Topic: Hospice
Replies: 3
Views: 2782

Hospice

What type of documentation can you use to code hospice start of care?