Wiki auditing for quality measures

[MnTwins29]

Does anyone audit records not only for coding accuracy but also for quality measures, such as if the patient has received a flu shot, females have had a mammo within the last year and other such measures? If so, I have a question. If a woman is advised to get a mammo, but the MD documents that the patient refused, do you count this as a yes, since the doctor did the recommendation, or as a no because the patient refused? Thank you.

 

[reach2helen]

I thik this should not be billed becoz there is no document for mamogram.

 

[moinsf]

Auditing for Quality Measures

We audit for quality measures at our FQHC community health center. If the patient refused to get a mammo even though the doctor recommended it that would be considered a "no" as the patient did not get the mammo.

 

[kumeena]

If a patient refuse for vaccination we can code V64.06. I don't have any idea about reimbursement part