Search found 76 matches

by Shoshana
Thu Jan 17, 2019 1:19 pm
Forum: Medical Auditing Forum
Topic: Critical Care Coding
Replies: 0
Views: 4

Critical Care Coding

I just attended a critical care webinar and the presenters stated the physician can bill for critical care and E/M on the same calendar day. Stated if patient rounding in the morning bill subsequent visit and if called later in day because patient crashed, bill critical care. (This I understood) But...
by Shoshana
Tue Jan 15, 2019 10:42 am
Forum: Medical Auditing Forum
Topic: 3 chronic or inactive conditions
Replies: 1
Views: 15

3 chronic or inactive conditions

If a physician lists the lab results in the HPI beside the chronic illnesses he is seeing the patient for, would you give him credit? Example: Patient is here Review labs--& Refill---Add--Adjust meds. & FU w/-------Chr. Sinusitis (Zithromax TriPak)/IBS-D/HTN/HLD(TChol= 227(191), (Trig =214(223), (LD...
by Shoshana
Fri Jan 11, 2019 3:25 pm
Forum: Medical Auditing Forum
Topic: New Dermatology Biopsy Codes and Modifiers
Replies: 1
Views: 16

New Dermatology Biopsy Codes and Modifiers

I am being asked a question by one of my dermatology providers. Could you help me with this? She wants to know: With the new biopsy codes Dr. xxxx and the providers have brought up many questions regarding where the 59 modifier should go and also how to bill when you have multiple biopsies and speci...
by Shoshana
Mon Nov 05, 2018 12:00 pm
Forum: Resources and Tools for the Auditor and Compliance Professionals
Topic: Outpatient Coding Queries
Replies: 0
Views: 152

Outpatient Coding Queries

Does anyone have a good resource book on setting up an Outpatient Coding Queries program?
by Shoshana
Thu Oct 18, 2018 1:51 pm
Forum: Medical Auditing Forum
Topic: Psychiatric HPI
Replies: 0
Views: 211

Psychiatric HPI

I was told or read one time that when a patient is describing a psychiatric illness, the location is a given under HPI because it is mental. Can anyone tell me if this is a true statement or a myth? I have difficulty finding any coding information on psychiatric E & M.
by Shoshana
Thu Oct 18, 2018 1:41 pm
Forum: Medical Auditing Forum
Topic: Psychiatric Examination
Replies: 0
Views: 183

Psychiatric Examination

Does this meet complete for 1997 Psychiatric exam? I think no. Physical findings - BP 142/77, Pulse - 77 bpm, Height 61 in., weight 132 lbs. BMI 25.1 and Body Surface Area 1.59 m2 Mental status exam: Patient is well developed and well-nourished and appears stated chronological age. Patient appears t...
by Shoshana
Thu Oct 18, 2018 1:31 pm
Forum: Medical Auditing Forum
Topic: Endocrinology HPI and Exam
Replies: 4
Views: 494

Re: Endocrinology HPI and Exam

Thanks for your prompt response, Paul. Appreciate it.
by Shoshana
Thu Oct 18, 2018 11:27 am
Forum: Medical Auditing Forum
Topic: Mini Mental Examination of Deaf person
Replies: 0
Views: 185

Mini Mental Examination of Deaf person

Would you give credit for speech in the '97 psychiatric examination if the patient is deaf and using sign language with an interpreter? My physician says he should get credit in the examination as it is not his fault she doesn't speak.
by Shoshana
Thu Oct 18, 2018 11:23 am
Forum: Medical Auditing Forum
Topic: Endocrinology HPI and Exam
Replies: 4
Views: 494

Re: Endocrinology HPI and Exam

Thank you for your response. I have been told FCSO in Florida does not accept negatives as Associated Signs and Symptoms. Those must be counted in ROS. Is this true?
by Shoshana
Thu Oct 11, 2018 2:10 pm
Forum: Medical Auditing Forum
Topic: Endocrinology HPI and Exam
Replies: 4
Views: 494

Endocrinology HPI and Exam

Can someone help me with the HPI Level: 1. Secondary Hyperparathyroidism. due to Vit D insufficiency. He has been taking vitamin d 50,000 units twice per week. He denies any compressive symptoms, no broken bones, no kidney stones, no abd pain. 2. Impaired fasting glucose - A1c 5.6 2. MNG noted with ...