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Auditing for Pediatrics

K

kljr1983

Networker
Messages
29
Location
Manhattan New York Chapter
Is there anyone knowledgeable in auditing Pediatrics? Specifically, auditing Well Child visits. What are the criteria that must be met? Is it the same as E/M coding?

Thanks for the help!
 
well child visits

When I worked for pediatrics we used age specific forms from the american academy of pediatrics. I think if your provider is a member you might be able to download these forms. The AAP website also has a great tool at this link:

http://practice.aap.org/content.aspx?aid=1599

I would probably audit based on AAP recommendations.........and you want to make sure the vaccine records are appropriately documented. Hope this helps. Auditing preventive care is difficult b/c there are not clear cut guidelines for what is required in a well visit. It really depends on the pt's age, gender, and what the provider feels is appropriate. Per the CPT guidelines "The comprehensive nature of Preventive Medicine reflects an age/gender appropriate history/exam and is NOT synonymous with the "comprehensive" exam required for E/M codes 99201-99350"
 
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