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Can I count as a bullet

  1. #1
    Default Can I count as a bullet
    Medical Coding Books
    Patient is alert and oriented x 3

    Can I count this as Orientation to time, place, and person or is there a more appropriate way for the physician to document this to meet the criteria for this bullet under psychiatric in 97' guidelines.

  2. Default
    Under 1997 specialty exam, you get two bullets for that statement. One bullet for Alert (attention span and concentration) and one more bullet for Ox3.
    Thanks,
    Jagadish, CCS-P, CPC

  3. #3
    Location
    Springfield, MO
    Posts
    258
    Default
    For the 1997 General Exam, this counts as alert and oriented.
    Amy Bishard, BA, CPC, CPMA, CEMC, CCS, RCC
    Instructor, Medical Billing and Coding, Cox College
    amy.bishard@coxcollege.edu
    2015 Education Officer - Springfield MO AAPC Chapter
    Former AAPC Chapter Association Board of Directors 2012-2015
    2011 President - Springfield MO AAPC Chapter
    2010 President Elect - Springfield MO AAPC Chapter

  4. #4
    Default
    I am confused.

    Where is there a bullet for Alert as a standalone bullet?

  5. #5
    Question
    Quote Originally Posted by dwaldman View Post
    I am confused.

    Where is there a bullet for Alert as a standalone bullet?
    I'm confused about this, as well. There were several examples in the Medical Record Auditor curriculum that credited statements such as "alert" and "mildy anxious" to constitutional - When is it Constitutional, and when is is Psych?

  6. Default
    https://www.highmarkmedicareservices...eets/10223.pdf


    Orientation to time, place and person - One bullet
    Recent and remote memory
    Attention span and concentration - One bullet (Alert)
    Language (e.g., naming objects, repeating phrases)
    Fund of knowledge (e.g., awareness of current events, past history, vocabulary)
    Mood and affect (e.g., depression, anxiety, agitation, hypomania, lability)
    Thanks,
    Jagadish, CCS-P, CPC

  7. #7
    Smile
    Didn't think to look in the psych single organ exam. Thank you for the link and your help with my question.

  8. #8
    Default
    I disagree that "Alert" gets you credit for attention span and concentration. A&Ox3 is 1 bullet under 97.

    How does that tell what the attention span and concentration are?

    Laura, CPC, CPMA, CEMC

  9. Default
    Alertness is the state of paying close and continuous attention, being watchful and prompt to meet danger or emergency, or being quick to perceive and act. It is related to psychology as well as to physiology. A lack of alertness is a symptom of a number of conditions, including narcolepsy, attention deficit disorder, chronic fatigue syndrome, depression, Addison's disease, or sleep deprivation.

    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

    Please let me know why cannot we consider this as an exam bullet.
    Last edited by Jagadish; 12-29-2010 at 09:12 PM.
    Thanks,
    Jagadish, CCS-P, CPC

  10. #10
    Question
    Quote Originally Posted by Jagadish View Post
    Alertness is the state of paying close and continuous attention, being watchful and prompt to meet danger or emergency, or being quick to perceive and act. It is related to psychology as well as to physiology. A lack of alertness is a symptom of a number of conditions, including narcolepsy, attention deficit disorder, chronic fatigue syndrome, depression, Addison's disease, or sleep deprivation.

    Please let me know why cannot we consider this as an exam bullet.
    Impressive argument! I bet you're skilled in writing appeals. I agree, and have also been trying to find the answer to this. I haven't had any luck, so I'm interested to get clarification, as well.

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