Search found 45 matches

by lori
Fri Aug 14, 2015 12:10 pm
Forum: Medical Auditing Forum
Topic: Number of Dx and treatment options
Replies: 4
Views: 3973

Re: Number of Dx and treatment options

Hi. I've always been under the impression that we derive the Number of Dx/Treatment Options from the provider's documented Assessment (such as "new onset hypertension" would count as 1 new problem). However, I've recently been told that differential diagnoses should be counted separately in the Numb...
by lori
Fri Aug 14, 2015 11:51 am
Forum: Medical Auditing Forum
Topic: Exam credit
Replies: 3
Views: 4108

Re: Exam credit

Hi. So if they document "Neurovascular exam normal", would you only give credit to 1 system? Or does that phrase cover both neuro and cardio for 1995 Guidelines?
Thank you!
by lori
Fri Jul 31, 2015 2:52 pm
Forum: Medical Auditing Forum
Topic: Medical Necessity - E/M
Replies: 5
Views: 8741

Re: Medical Necessity - E/M

Thank you, Kim, for the support and understanding, and thank you, Shannon, for the response. What I'm seeing is that a provider did thoroughly document the History/Exam/MDM, did a great job elaborating on the evolvement of the patient's symptoms, illustrating the severity of the patient's multiple a...
by lori
Fri Jul 31, 2015 2:23 pm
Forum: Medical Auditing Forum
Topic: new problem with work up
Replies: 5
Views: 7000

Re: new problem with work up

Hi. I was just reading the conversation on this, and I just want to be sure I understand the responses from NAMAS. The initial response from NAMAS appeared to state that a referral to a specialist would not qualify as "additional workup" and instead would be measured on the Risk Table. However, the ...
by lori
Fri Jul 31, 2015 2:08 pm
Forum: Medical Auditing Forum
Topic: MDM-table of risk
Replies: 3
Views: 4186

Re: MDM-table of risk

Hi. Could you please refer me to an authoritative reference that defines the "identified risks" in this example as representative of co-morbidities? I was under the impression that "identified risks" represented any risks documented by the provider as being associated with the given procedure for th...
by lori
Fri Jun 19, 2015 4:08 pm
Forum: Medical Auditing Forum
Topic: 2014 ICD-10 Draft---Valid or Not for Implementation?
Replies: 2
Views: 3207

Re: 2014 ICD-10 Draft---Valid or Not for Implementation?

Thank you so much for that info.
by lori
Thu May 07, 2015 9:29 am
Forum: Medical Auditing Forum
Topic: 2014 ICD-10 Draft---Valid or Not for Implementation?
Replies: 2
Views: 3207

2014 ICD-10 Draft---Valid or Not for Implementation?

Hi. I have a 2014 Complete Draft ICD-10 Code Book that was published by AAPC. I'm getting conflicting messages now regarding whether or not there have been and/or will be any changes to the Draft version of ICD-10 prior to implementation on October 1, 2015. I just received a promo e-mail from anothe...
by lori
Tue Apr 07, 2015 4:04 pm
Forum: Conversations on Salary Survey, Job Duties, and Medical Auditing Positions
Topic: Today's Webinar-Salary Survey
Replies: 1
Views: 9739

Today's Webinar-Salary Survey

Hi, Shannon, Thank you for presenting that data today. It was very interesting. In response to a topic you raised in the presentation, I have reservations about staff with little-to-no coding experience being placed in auditing positions. My personal perspective is that one should serve in a coding ...
by lori
Tue Apr 07, 2015 3:22 pm
Forum: Weekly Tip Comments & Discussions
Topic: Weekly Tip-Scoring MDM ER Encounter
Replies: 5
Views: 5338

Re: Weekly Tip-Scoring MDM ER Encounter

Hi, Shannon, It seems like you touched on the idea that admission to the hospital equates to 'additional workup planned'. In the case of initial hospital care codes 99221-99223, sometimes a patient is admitted to the hospital but no diagnostics are ordered at the time of admission. Perhaps the H & P...
by lori
Fri Feb 20, 2015 2:40 pm
Forum: Weekly Tip Comments & Discussions
Topic: Excellent Weekly Tip on Excisions/Biopsies
Replies: 1
Views: 2138

Excellent Weekly Tip on Excisions/Biopsies

Just wanted to say this was an excellent article by Sara San Pedro. Thanks so much!