I have always understood the 95 Exam Criteria to be:
Problem Focused Exam- One organ system or one body area
Expanded Problem Focused Exam- 2-4 Organ Systems
Detailed Exan- 5-7 Organ Systems
Comprehensive Exam- 8 or more Organ Systems
However, the number of organ systems above are not listed specifically in the 95 Exam Documentation Guidelines. Does anyone know where these are listed or clarified in order to defend an audit of a medical record? Also, can you count a body area the same as an organ system? Thanks!
Problem Focused Exam- One organ system or one body area
Expanded Problem Focused Exam- 2-4 Organ Systems
Detailed Exan- 5-7 Organ Systems
Comprehensive Exam- 8 or more Organ Systems
However, the number of organ systems above are not listed specifically in the 95 Exam Documentation Guidelines. Does anyone know where these are listed or clarified in order to defend an audit of a medical record? Also, can you count a body area the same as an organ system? Thanks!