Morning
Under the NEW E&M guidelines some items conflict with HCC coding- since the level is determined by MDM
Problems was defined as a condition that is evaluated and treated- it specifically states just notating another provider is treating does not count as addressed. This contradicts with some conditions that risk adjust
For example; a pt with DM with Ophthalmology complications- the PCP is never going to treat. Therefore; when the Providers uses an HCC in A&P documents Stable - pt following current treatment has follow up with DR XYZ - this will not count toward the level of service- I am assuming it will still be validated/Captured on the HCC side ?
Thanks
Under the NEW E&M guidelines some items conflict with HCC coding- since the level is determined by MDM
Problems was defined as a condition that is evaluated and treated- it specifically states just notating another provider is treating does not count as addressed. This contradicts with some conditions that risk adjust
For example; a pt with DM with Ophthalmology complications- the PCP is never going to treat. Therefore; when the Providers uses an HCC in A&P documents Stable - pt following current treatment has follow up with DR XYZ - this will not count toward the level of service- I am assuming it will still be validated/Captured on the HCC side ?
Thanks