With regard to the 95 guidelines i can not locate a specific instruction on a double count of an element -lets say either duration or location for two separate conditions. I see Highmark has stated that if the location is the same for leg pain and a rash -since only one location was mentioned -then only one element for location is counted. If the pt presents with left leg abscess and a left lower quad. abdominal pain -can we count the location element x two. This same question can be applied to other elements such as duration and associated signs and symptoms for two different presenting problems .
There was a similar question on this forum that asked " when calculating HPI elements, do all 4 elements have to be on the same complaint".
Since that question was never fully resolved -can anyone provide additional compliance insight on this issue.
thank you
Dan Ferry,CPC
There was a similar question on this forum that asked " when calculating HPI elements, do all 4 elements have to be on the same complaint".
Since that question was never fully resolved -can anyone provide additional compliance insight on this issue.
thank you
Dan Ferry,CPC
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