Results 1 to 9 of 9

Status of three chronic conditions

  1. Default Status of three chronic conditions
    Medical Coding Books
    Does the status of three chronic conditions have to appear in the HPI section or can it be taken from the Medical Decision portion? I have a supervisor that states we can take the status of three chronic conditions to count toward an Det. or Comp. HPI, is this appropriate?
    If anyone has any references on this please let me know.

    Thanks!

  2. #2
    Location
    Greeley, Colorado
    Posts
    2,045
    Default
    I don't have any documentation, but it does not seem logical to take something out of the MDM and apply it to the HPI. And you certainly can't use it in both areas if not documented in both.

  3. Default
    It doesn't seem logical, but I have always been told to mentally erase the labels on the various sections of the note. HPI is HPI, . ROS is ROS. PFSH is PFSH. Exam is exam. With the exception of "associated signs and symptoms" (in the HPI) and ROS, regardless of where it's written. I do not have any documentation on it. If you use it, be careful not to double dip (use it in both areas). Also, remember to if you use the chronic conditions in HPI, you must follow 97 guidelines.

  4. Default Status of three chronic conditions
    HPI is a patient portion, whereas MDM is an assessment done by physician, and finally the provider has documented the conditions and its status. how we could consider this for HPI. Plz help me on this..

    Thankzzz

  5. #5
    Thumbs up
    The requirement for the 3 chronic condition portion of the history is that the status of the chronic conditions comes from the patient.

    Example:

    Patient notes that their blood sugar at home has been approximately 120 for the past month. In addition they have noted that their HTN is
    elevated. They also noted that their pain control in regards to their arthritis is within reasonable standards

    If the status of the 3 conditions documentation in the MDM is noted as coming from the patient then it can be attributed to the History.

  6. Default
    thank u very much for your immediate reply chelle...
    Incase, In HPI they have mentioned f\u DM, nothing else we have found in HPI . But in MDM portion, they have mentioned HTN-Stable, DM-controlled,
    Hyperlipidemia- stable. can we consider this is for HPI.

  7. #7
    Thumbs up
    No, I would not consider this as part of the 3 chronic conditions as it does not state that the information came from the patient. It appears to be physicians summary of their conditions.

    In the MDM Portion they have mentioned
    * HTN - Stable
    * DM - controlled
    * Hyperlipidemia - stable

  8. Default
    Thanks for ur reply Chelle...

  9. Default
    I just wanted to add my two cents I agree with Chelle that the status of the 3 chronic conditions need to be from the patient so you would expect to see subjective statements. For example, HTN has been stable per home BP checks. no CP. Taking meds daily. etc.

    However, IF a provider wrote all of that under the A/P, I would credit it to the HPI. It doesn't matter where in the note it is written as long as it is clear this was information collected from the patient.

    Lisi
    eharkler@nm.org

Similar Threads

  1. Status of Three Chronic Conditions
    By dballard2004 in forum E/M
    Replies: 10
    Last Post: 06-17-2016, 01:59 PM
  2. Replies: 3
    Last Post: 10-07-2015, 06:02 AM
  3. Status of 3 chronic conditions
    By jodismith in forum E/M
    Replies: 3
    Last Post: 11-05-2013, 08:57 PM
  4. status of chronic conditions
    By jmcalister in forum Auditing General Discussion
    Replies: 4
    Last Post: 05-01-2013, 01:30 PM
  5. Status of Chronic Conditions
    By maine4me in forum E/M
    Replies: 0
    Last Post: 03-21-2013, 08:48 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.