adri3421
Networker
When dealing with trauma patients, our doctors typically do not document family history on the hospital admission, because it is truly non-contributory. The pt can sometimes be alert and still seriously injured, so to say family history is always unobtainable is not necessarily correct.
But because these are inpt admissions 99221-99223, according to Medicare Guidelines all 3areas of history are required.......but what are trauma doctors to do? "Excuse me, I know you are bleeding to death, but what's your family history?"
Our services are more comparable to ED services (where only 2 areas of PFSH) are required.....but we are fully admitting the patient so we have to report 99221-99223.
My question is can Medical Necessity play a part in us not asking the family history on 99221-99223? Would this fly with Medicare?
But because these are inpt admissions 99221-99223, according to Medicare Guidelines all 3areas of history are required.......but what are trauma doctors to do? "Excuse me, I know you are bleeding to death, but what's your family history?"
Our services are more comparable to ED services (where only 2 areas of PFSH) are required.....but we are fully admitting the patient so we have to report 99221-99223.
My question is can Medical Necessity play a part in us not asking the family history on 99221-99223? Would this fly with Medicare?