# 1. YES I count this as either ROS or Past med Hx depending on what I need
# 2. "Alert and oriented X 3" always seems to go together. I would not give additional credit for the word "alert."
#3. 1997 guidelines are pretty specific. If all the physician documents is "HEENT normal" then I do NOT give ANY bullets under 1997 guidelines.
#4. I agree with you. The 1997 guidelines are specific: spine, ribs and pelvis. If you are missing any one of them you don't get credit for that bullet point.
Hope that helps.
F Tessa Bartels, CPC, CEMC
- ICD-10 Trainings
- Comprehensive Courses
- CPC (Certified Professional Coder)
- COC (Certified Outpatient Coder)
- CIC (Certified Inpatient Coder) NEW!
- CRC (Certified Risk Adjustment Coder) NEW!
- CPB (Certified Professional Biller)
- CPMA (Certified Professional Medical Auditor)
- CDEO (Certified Documentation Expert – Outpatient) NEW!
- CPPM (Certified Physician Practice Manager)
- CPCO (Certified Professional Compliance Officer)
- VIEW ALL CERTIFICATIONS
Coding / Billing Solutions
- Audit / Compliance Solutions
Job Experience / Apprentice Removal
News / Discussion
- Other Resources
- Book Store
- Log In / Join