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95 or 97 for cardiology?

  1. #1
    Location
    Phoenix, AZ
    Posts
    620
    Default 95 or 97 for cardiology?
    Medical Coding Books
    Good morning,

    I was having a discussion with one of my cardio docs last week regarding 95 or 97 E/M guidelines. Is anyone else using 97 guidelines? It makes more sense to me to have them change because 97 guidelines give them a more focused cardio exam.
    Cyndi Allen, CPC, CIRCC
    2015 Local Chapter President, Casa Grande, AZ

  2. #2
    Location
    Columbia, MO
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    12,531
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    I use 97 for all my cardiologists and they agreed after I did a post audit using both guideline sets.

    Debra A. Mitchell, MSPH, CPC-H

  3. #3
    Location
    Phoenix, AZ
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    620
    Default
    Thanks Debra. Did they have any problems completing all the bullets as indicated? What about the occult stool? Is that only done with thromblytic or Coumadin patients?
    Cyndi Allen, CPC, CIRCC
    2015 Local Chapter President, Casa Grande, AZ

  4. Default
    We use both 95 & 97 guidelines, depending on which physician is being audited. We have 12 doctors in our practice so we have 12 different types or formats of chart notes. Since some do a detailed CV exam, I audit those with 97 guidelines. The ones that don't do a detailed exam I use 95 guidelines

    Dolores, CPC-CCC

  5. #5
    Location
    Columbia, MO
    Posts
    12,531
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    Quote Originally Posted by Cyndi113 View Post
    Thanks Debra. Did they have any problems completing all the bullets as indicated? What about the occult stool? Is that only done with thromblytic or Coumadin patients?
    They had absolutely no problem with documenting everything that they needed most were already doing a great job they were just using the 95 guidelines but converting to the 97s did give them higher levels more than 60% of the time. As far as the occult stool, the only way I can really answer is that is always done with the thromblytic and coumadin patients.

    Debra A. Mitchell, MSPH, CPC-H

  6. #6
    Location
    Phoenix, AZ
    Posts
    620
    Default
    Thanks for the input, Ladies!
    Cyndi Allen, CPC, CIRCC
    2015 Local Chapter President, Casa Grande, AZ

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