Page 2 of 2 FirstFirst 12
Results 11 to 13 of 13

Can I count as a bullet

  1. #11
    Medical Coding Books
    [*] Description of speech including: rate; volume; articulation; coherence; and spontaneity with notation of abnormalities (eg, perseveration, paucity of language)
    [*] Description of thought processes including: rate of thoughts; content of thoughts (eg, logical vs. illogical, tangential); abstract reasoning; and computation
    [*] Description of associations (eg, loose, tangential, circumstantial, intact)
    [*] Description of abnormal or psychotic thoughts including: hallucinations; delusions; preoccupation with violence; homicidal or suicidal ideation; and obsessions
    [*]Description of the patient's judgment (eg, concerning everyday activities and social[*]situations) and insight (eg, concerning psychiatric condition)
    Complete mental status examination including
    Orientation to time, place and person
    Recent and remote memory
    Attention span and concentration
    Language (eg, naming objects, repeating phrases)
    Fund of knowledge (eg, awareness of current events, past history, vocabulary)
    Mood and affect (eg, depression, anxiety, agitation, hypomania, lability)

    "Alertness is a global observation of level of consciousness i.e. awareness of, and responsiveness to the environment, and this might be described as alert, clouded, drowsy, or stuporose"

    Concentration: act or process of concentrating, especially the fixing of close, undivided attention.

    Attention span: The length of time during which a person can concentrate on a subject or idea.

    How does the statement "Alert" tell us their ability to concentrate and the length of time they can pay attention to something?

    In all the auditing courses I have been too, both private and given by Medicare carriers, and the audits I have been thru A&Ox3 is 1 bullet under 97. Alert tells us they are conscious and that is not a bullet.

    Laura, CPC, CPMA, CEMC

  2. Default
    The statement saying that patient is alert, itself means that he is in a state of paying close and continuous attention. This itself is the focus of mental status examination in all the verbal and nonverbal exercises or tests that are done to test the cognition under the bullet "Attention span and concentration".
    Jagadish, CCS-P, CPC

  3. #13
    Default Agree to disagree I guess
    I wish you all the best in counting that. I am speaking from my experience working with auditors employed by the OIG and various consultants in the field.

    When using 97 guidelines they do not count the "A&O" at all unless it is "A&Ox (1, 2, or 3)", then it is 1 bullet.

    Laura, CPC, CPMA, CEMC

Page 2 of 2 FirstFirst 12

Similar Threads

  1. EOMI what bullet do you count that under
    By KATE1214 in forum Auditing General Discussion
    Replies: 2
    Last Post: 07-21-2017, 07:13 AM
  2. Replies: 4
    Last Post: 10-27-2011, 05:46 AM
  3. Is there a bullet for this? No AV nicking?
    By Orthocoderpgu in forum E/M
    Replies: 1
    Last Post: 02-28-2011, 07:50 PM
  4. 97 exam bullet
    By LLovett in forum E/M
    Replies: 10
    Last Post: 11-09-2010, 07:42 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.