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Thread: Can the 95 and 97 guidelines be mixed?

  1. #1
    Join Date
    Apr 2007

    Default Can the 95 and 97 guidelines be mixed?

    AAPC: Back to School
    When using the 3 stable chronic problems toward the History, can we still use the 1995 guidelines?
    Tiffany Fischer, CPC, CEMC

  2. #2
    Join Date
    Apr 2007
    Columbia SC


    You cannot mix 95 and 97 guidelines. From all the workshops that I have been to the speakers/trainers say that the 3 chronics are used in the 97 guidelines. I hope this helps.

  3. #3
    Join Date
    Apr 2007
    Milwaukee WI

    Default Check with your CMS carrier

    Check with your carrier. SOME carriers DO allow you to use the status of 3 chronic/stable conditions (1997 guidelines), while using the 1995 exam guidelines.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  4. #4
    Join Date
    Apr 2007
    Greeley, Colorado


    I agree with Tessa - check with your MAC and get it in writing!
    Lisa Bledsoe, CPC, CPMA

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