Results 1 to 3 of 3

1995 vs 1997 documentation guidelines

  1. Default 1995 vs 1997 documentation guidelines
    Medical Coding Books
    I am just starting a new position that includes some auditing. Can anyone give me some advice as to which guidelines are easier to use, 1995 or 1997?

  2. #2
    Location
    Hartford, CT
    Posts
    723
    Default
    When I audit I use both sets of guidelines. When reporting results you would use whichever is most advantageous to the provider.

    When I teach physicians I use the 1995 guidelines, they're more detailed and I think they provide better documentation, the 95 guidelines are vague as to what is actually required.
    Doreen Clark, CPC, CPMA
    Medical Auditing Specialist
    Integrated Physicians Management Services
    East Harftord. Ct

  3. #3
    Default
    Quote Originally Posted by dlentsch View Post
    I am just starting a new position that includes some auditing. Can anyone give me some advice as to which guidelines are easier to use, 1995 or 1997?
    We use the '95 guidelines which I feel is much more advantageous to our practice. The only time I may use the '97 guidelines is if I'm auditing a specific specialtly which would benefit more from the '97 guidelines.

    The only difference between the 2 guidelines is the physical exam. It is easier for most to attain a comprehensive exam using the '95 guidelines (e.g. 8 or more systems=comprehensive)

    Whereas with the '97 general multi-system exam comprehensive at least 18 bullets in 9 organ systems i.e. (Perform all elements identified by a bullet in at least nine organ systems or body areas and document at least two elements identified by a bullet from each of nine areas/systems.)

    We have neuro services which is when I may utilize the '97 guidelines because it's specialty specific; 22 bullets for comprehensive sytem specific.

    You may want to review the PE guidelines to see which works best for your practice.
    Last edited by Tonyj; 09-26-2014 at 07:44 AM.

Similar Threads

  1. 1995-1997 E/M guidelines
    By Bill McAlpine in forum E/M
    Replies: 0
    Last Post: 12-16-2013, 08:43 AM
  2. 1995/1997 guidelines
    By Love Coding! in forum E/M
    Replies: 2
    Last Post: 02-01-2012, 10:45 AM
  3. Replies: 6
    Last Post: 10-07-2009, 06:37 AM
  4. 1995 vs 1997 Guidelines
    By Gemini18 in forum Employment General Discussion
    Replies: 2
    Last Post: 09-15-2008, 03:02 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.