MandyFlagg
Guest
I am hoping someone will be able to help me because I am not finding this anywhere.
First - Under 97 Guidelines in the HPI you can credit them for the status of 3 Chronic Conditions, Can you give credit if they are not talking about those issues or addressing them at all in the note?
IE: CC: constipation
HPI: The patient has not had a BM in 2 days and complaining of abd pain today. HTN, DM, PVD, CHF all stable
Second - When counting "prescription drug management" in the MDM for the table of risk and "parenteral controlled substances and drug therapy requiring intensive monitoring for toxicity" does the provider need to address them or can it just be a list of the medications the patients are on. The encounters the NP's I code for will just simply list meds (sometimes with dosage and sometimes not) Can I credit them or not?
Third - For the Nature of the Presenting Problem how do you count that, I am doing SNF physician billing (99307-99310) and I am getting a 99310 for one skin tear, because they are actually documenting the status of the chronic illnesses and doing a full body exam but the MDM is "LLE skin tear, monitor for infection" I do not feel right giving them this code but the documentation is there, what do I do?
If someone knows the answer, and could lead me in the right direction of where to find this I need it for the next meeting I have to present this information. Some of the people I have to present this to will not take my word they must have something in writing. Please feel free to private message me, or respond.
I THANK YOU EMENSLY FOR YOUR HELP IN ADVANCE
Mandy Flagg, CPC
First - Under 97 Guidelines in the HPI you can credit them for the status of 3 Chronic Conditions, Can you give credit if they are not talking about those issues or addressing them at all in the note?
IE: CC: constipation
HPI: The patient has not had a BM in 2 days and complaining of abd pain today. HTN, DM, PVD, CHF all stable
Second - When counting "prescription drug management" in the MDM for the table of risk and "parenteral controlled substances and drug therapy requiring intensive monitoring for toxicity" does the provider need to address them or can it just be a list of the medications the patients are on. The encounters the NP's I code for will just simply list meds (sometimes with dosage and sometimes not) Can I credit them or not?
Third - For the Nature of the Presenting Problem how do you count that, I am doing SNF physician billing (99307-99310) and I am getting a 99310 for one skin tear, because they are actually documenting the status of the chronic illnesses and doing a full body exam but the MDM is "LLE skin tear, monitor for infection" I do not feel right giving them this code but the documentation is there, what do I do?
If someone knows the answer, and could lead me in the right direction of where to find this I need it for the next meeting I have to present this information. Some of the people I have to present this to will not take my word they must have something in writing. Please feel free to private message me, or respond.
I THANK YOU EMENSLY FOR YOUR HELP IN ADVANCE
Mandy Flagg, CPC