• 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 TrailBlazer vs Medicare Audit Tool

Create Wiki
J

jifnif

Expert
Messages
265
Location
Pottstown/Philadelphia
Best answers
0
I have a print out of an audit tool that Medicare uses and I have one from the TrailBlazer website, they are different in the respect that in History on the TrailBlazer copy you need to meet criteria for HPI and ROS for all levels except ROS in Problem Focused and PFSH in EPF. On Medicare's you don't need any criteria in HPI for PF or Detailed and PFSH for EPF. OR Am I reading Medicare's tables wrong and the blanks mean "Brief"? Thanks for your help.
 
I'm not sure what form you are looking at, could you post the link to the CMS tool?

Based on 95/97 guidelines the tool should require the HPI be brief for PF and EPF, the ROS is N/A for PF and problem pertinent for EPF, and the PFSH is not required for either PF or EPF.

Laura, CPC, CEMC
 
You must log in or register to reply here.
Top