Wiki To code or not to code

Mia12

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Plymouth, MN
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In my audits now on how they r scoring is weird and not sure how they r coming up with these numbers. I work for a hospital and code outpatient, I am getting dinged on my primary do. And as well my second codes. If it was documented in the assessment but nothing planned for the condition or at least specialty eye accounts don’t document very well. What r the guidelines that meet the M. E.A.T guidelines, because I will have the MD just state observe for his plan, or maybe say a history of surgery but nothing else about it, maybe the eye MD might say when he had surgery in the HPI, but thought we can’t use the HPI, please clarify or if there’s a website to understand what to code and not to code, primary and secondary codes. I followed the
CM guidelines, but if they had surgery I was told that would
Be my primary dc. Since it’s a new problem instead of it originally being a Diabetic eye exam. I was told that DM shouldn’t be my primary would like your opinion on this too
 
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