Results 1 to 3 of 3

Thread: Crediting 3 Chronic Conditions

  1. #1
    Join Date
    Apr 2007
    Location
    North Carolina
    Posts
    3,126

    Question Crediting 3 Chronic Conditions

    Promo: Code Books
    I'm curious what your view is on this...

    I know that you can achieve an extended HPI if the provider documents the status of as least three chronic or inactive conditions. Here's my question. Let's say, for instance, the physician is somewhat vague in the HPI section. However, at his assessment plan, the provider documents detailed information about the chronic conditions, the medication(s) and their status'. Would you credit the physician since it's not in the HPI section but he does document it nicely at the end of the note. (Looking for your input Tessa.....)

  2. #2
    Join Date
    Apr 2007
    Location
    Milwaukee WI
    Posts
    4,451

    Default VERRRRY Interesting ...

    Rebecca,
    My first reaction is No ... because the status of chronic conditions in the assessment/plan would be part of the MDM (no double dipping).

    But then ... if you absolutely don't need the statement for any part of MDM ... I suppose you could count it towards HPI.

    I have seen notes that are all just one long paragraph with no neatly identified subheadings to tell me where to count something. I get out my set of colored highlighters ... pink for HPI, green for ROS, yellow for PMFSH, purple for exam, and blue for MDM. The colors of highlight can be (and frequently are) mixed up on the page, as long as I'm not double dipping, I feel okay about the level of service.

    Just thinking out loud here ... Does that help?

    F Tessa Bartels, CPC, CEMC

  3. #3
    Join Date
    Apr 2007
    Location
    North Carolina
    Posts
    3,126

    Default

    Yes...It does. Honestly, I had never thought of this until another coder mentioned this to me. I've chewed on this for awhile and just couldn't make a decision. I know others may frown on it but, with your explanation, I could see it working. I really appreciate your input. Although I'm working very hard at it and plan on testing for the E/M exam, I'm not as seasoned as you.

    Thanks again~

Similar Threads

  1. 3 Chronic conditions..
    By EmilyDingee in forum E/M
    Replies: 1
    Last Post: 05-07-2013, 03:53 PM
  2. Using V Codes for Chronic Conditions?
    By TracyAlder in forum Diagnosis Coding
    Replies: 3
    Last Post: 07-14-2012, 02:29 PM
  3. chronic conditions
    By raposo1 in forum Cardiology
    Replies: 1
    Last Post: 11-22-2011, 09:21 AM
  4. Chronic Conditions
    By NESmith in forum E/M
    Replies: 8
    Last Post: 07-11-2011, 02:03 PM
  5. coding chronic conditions
    By biancasc in forum Outpatient Facilities
    Replies: 0
    Last Post: 02-24-2009, 10:42 AM

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.