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Statement "no acute distress"

drhoads

Guru
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106
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0
Can you count the statement "no acute distress" as Psych in the exam section when performing chart audits.:confused: Thank you
 

Pam Brooks

True Blue
Local Chapter Officer
NAB Member
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2,108
Location
South Berwick, ME
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We do not. We consider that an assessment of patient's overall appearance (constitutional). We ask for either a comment regarding mood and affect, or orientation x 3, in order to count a bullet for psychiatric OS.
 

Diane P

New
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3
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No acute distress- neuro

I have also considered this part of the constitutional exam, but I just listened (today) to an AAPC Webinar: Auditing EM Services for the Office & HOPD and they said "neuro".

The example they used was: Patient is well nourished, well developed (Constitutional), alert and oriented x3 (Psych), in no acute distress (Neuro).

I was a little surprised, so I decided to google and see what I can come up with. No definitive answers yet.
 
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I'm taking the CPMA course and in one example they counted it under Psych and the following example it was listed under Constitutional.
 
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