DeniseDenise
Contributor
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3 chronic illnesses = an automatic 4 HPI, is this the standard for 95 and 97 guidelines?
Thanks!
Thanks!
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Wiki 3 chronic illness = automatic 4 HPI
- Thread starter DeniseDenise
- Start date
valleycoder
Expert
Per 97 guidelines: an extended HPI consists of at least 4 elements of the HPI or the status of at least 3 chronic or inactive conditions.
Per 95 guidelines: an extended HPI consists of 4 or more elements of the HPI. The medical record should describe four or more elements of the present illness (HPI) or associated comorbidities.
Per 95 guidelines: an extended HPI consists of 4 or more elements of the HPI. The medical record should describe four or more elements of the present illness (HPI) or associated comorbidities.
Erica1217
Guest
It also depends on the carrier.
Mine has said you can count the status of 3 chronic conditions whether you are using 1995 or 1997 guidelines.
http://www.medicarenhic.com/faq_det...t/Consultations&searchphrase=&faqpagesize=100
Mine has said you can count the status of 3 chronic conditions whether you are using 1995 or 1997 guidelines.
http://www.medicarenhic.com/faq_det...t/Consultations&searchphrase=&faqpagesize=100
Belinda Frisch
Guru
Status
"Status" is the key to this. Make sure it is more than a list of 3 ccs. This link to the CMS-approved Highmark Medicare audit form allows for either or. Though I have seen the argument that if you use the 3 cc to support a comprehensive HPI you must adhere to the 97 DGs (bulleted) examinations, I don't know that to be 100% true. It makes sense, but currently it's an either/or situation and, I think, open to interpretation.
http://www.highmarkmedicareservices.com/partb/reference/pdf/scoresheets/8985.pdf
"Status" is the key to this. Make sure it is more than a list of 3 ccs. This link to the CMS-approved Highmark Medicare audit form allows for either or. Though I have seen the argument that if you use the 3 cc to support a comprehensive HPI you must adhere to the 97 DGs (bulleted) examinations, I don't know that to be 100% true. It makes sense, but currently it's an either/or situation and, I think, open to interpretation.
http://www.highmarkmedicareservices.com/partb/reference/pdf/scoresheets/8985.pdf