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Thread: auditing for quality measures

  1. #1
    Join Date
    Apr 2007
    Carmel, New York

    Default auditing for quality measures

    AAPC: Back to School
    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. #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.
    Maureen O'Connor, RHIT

  4. #4
    Join Date
    Apr 2007


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

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