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Auditing prenatal visits

  1. Default Auditing prenatal visits
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    Good morning,

    I have recently begun to audit charts for prenatal visits. Does anyone have any current information/tools on auditing/documentation guidelines for the OB prenatal record? I am very familiar with with the normal E/M guidelines pertaining to office visits and preventive visits, but I haven't found anything that describes a prenatal visit in more detail.

    Any information would be appreciated.

    Thank you

  2. #2
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    Medical Billing
    Refer to ACOG's website and their flowsheet for pertinent info covered per trimester. Also, be especially mindful of your local Medicaid guidelines; typically they have their own billing parameters such as education must be provided or certain referrals must be made...

    I also came across info pertaining to MDM/DX mngmt leveling in the COBGC study guide recently that states any work up (labs, etc) in which results are received during the visit should not be counted as additional work-up.

    Hope this helps.

    AHG
    CPC, CPMA, CGSC

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