• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki E/M experts..

Create Wiki
A

ARCPC9491

True Blue
Messages
700
Location
Stafford, VA
Best answers
0
My fellow coders:

I'm trying to create a binder for evaluation and management to use as a reference for other employees/auditors.

Instead of me trying to beat my head against the wall, I thought maybe you guys could help, that way I can compile the information much faster!

Right now I'm trying to create a tool that will help easily identify what organ system/body area each documented item/problem/condition/symptom/illness belongs to for the review of systems and exam.

Example(s):
General/Constitutional
Average weight, weight loss or gain, general state of health, sense of well-being, strength, ability to conduct usual activities, exercise tolerance
Skin/Breast
Rash, itching, pigmentation, moisture or dryness, texture, changes in hair growth or loss, nail changes
Breast lumps, tenderness, swelling, nipple discharge

I'm basically trying to categorize the symptom/illnesses to the appropriate organ systems. Feel free to add your thoughts. Thanks!!
 
My favorite reference

I use the 1995 or 1997 exam guidelines / audit tools as my reference point.
We're in pediatrics so many of the bullet points aren't applicable (especially male/female GU exams), but it still helps to categorize what system or body area we're talking about.

No need to reinvent the wheel ... LOL

Hope that helps.

F Tessa Bartels, CPC, CEMC
 
I am right in the middle of a similar situation. We have a new MD who wants some pointers as she believes she may be under coding. I have spent the afternoon searching for information to give her. She is Internal Medicine. Some of the things I have found are:
Provider education Medicare Part B;
Services Not Reasonable and Necessary
E and M coding requirements
IPPE 2009
1995 and 1997 documentation Guidelines.
Now, to put that into a quick snapshot.:eek:
I have printed out the publications and will put them in a folder for the future, or until something changes.
 
KBarron,
you can create a refernce sheet/cheat sheet for the doctor to refer to. the one i have has new, est & consults on it. if you need a copy send me an email at bigredcag@hotmail.com and state what specialty and if you want 95 or 97 or both.
 
You must log in or register to reply here.
Top