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auditing for quality measures

  1. #1
    New Windsor, New York
    Default auditing for quality measures
    Clearnace Sale
    Does anyone audit records not only for coding accuracy but also for quality measures, such as if the patient has received a flu shot, females have had a mammo within the last year and other such measures? If so, I have a question. If a woman is advised to get a mammo, but the MD documents that the patient refused, do you count this as a yes, since the doctor did the recommendation, or as a no because the patient refused? Thank you.

  2. #2
    I thik this should not be billed becoz there is no document for mamogram.

  3. Default Auditing for Quality Measures
    We audit for quality measures at our FQHC community health center. If the patient refused to get a mammo even though the doctor recommended it that would be considered a "no" as the patient did not get the mammo.

  4. #4
    If a patient refuse for vaccination we can code V64.06. I don't have any idea about reimbursement part

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