Recurrent problems

Post here your questions regarding auditing ,coding, documentation, and compliance. Also, join in on the conversation- help your fellow auditors and compliance professionals in the industry.

Moderators: Shannon DeConda, NAMAS Moderator

Recurrent problems

Postby janinemarie86 » Wed Jun 27, 2018 5:03 pm

In regards to Box A in Medical Decision Making, the number of problems to examiner, we are trying to define when a recurrent condition is considered a new problem vs an established problem.

For example- recurrent UTIs if a pt has a UTI that continues to return is this an established problem, or a new problem to the examiner? When is that decision made to determine that this is now a new problem? Could it be after the initial course of treatment and the pt is symptom free, and then returns again a month later for the same UTI symptoms? Or is this an established problem because it would be the same problem & same symptoms?
Posts: 9
Joined: Tue Mar 27, 2018 11:25 pm

Return to Medical Auditing Forum

Who is online

Users browsing this forum: No registered users and 1 guest