Wiki 3 chronic illness = automatic 4 HPI

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3 chronic illnesses = an automatic 4 HPI, is this the standard for 95 and 97 guidelines?

Thanks!
 
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.
 
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
 
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