Wiki 95 vs 97

[msbrowning]

Hi,

Can someone please explain the following to me:

The major difference between 95 & 97 guidelines

I remember it being something about 3 chronic conditions but I can't remember the exact or similar wording..

Thanks

 

[aimie]

95 and 97

It is much more specific go to medicare learning network and you can download guidelines for each

 

[rthames052006]

Hi,

Can someone please explain the following to me:

The major difference between 95 & 97 guidelines

I remember it being something about 3 chronic conditions but I can't remember the exact or similar wording..

Thanks

The exam is different as well as the 3 chronic conditiions. It would be best if you printed out or read both sets of guidelines. I keep both on my desk, just in case

 

[msbrowning]

Ok, thank you, but what is it about the 3 chronic conditions that's different? That's where I get confused..

 

[aimie]

Chronic condition

If I remember correctly 3 chronic conditions can qualify for extended hpi with cc. This is from memory.
Pm for any questions I work with 95 and 97 guidelines every day and night. I audit e/m charts using both guidelines.

Aimie:

 

[rthames052006]

Ok, thank you, but what is it about the 3 chronic conditions that's different? That's where I get confused..

The provider must document the status of atleast 3 chronic conditions. Example: DM stable on ____ meds.


Not just giving the "laundry list of dx's. Like, patient has DM, HTN and Hyperlipidemia with no elaboration.

I still suggest you read the DG for yourself.