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Compliance question, symbols

  1. Default Compliance question, symbols
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    Hello,

    I am looking for an answer to this question. In regards to inpatient services, does anyone know if Medicare (Noridian, Palmetto, Trailblazer) has a rule when it comes to using symbols (+ -, ↑, ↓ ) to describe the patients diagnosis with out writing out the diagnosis, examples below... are these acceptable to use? Would anyone know where I can find answer to this? Thank you!

    Hyperpotassemia - ↑ K
    Hypertension - ↑ BP
    Hypotension - ↓ BP

  2. #2
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    Quote Originally Posted by 021402 View Post
    Hello,

    I am looking for an answer to this question. In regards to inpatient services, does anyone know if Medicare (Noridian, Palmetto, Trailblazer) has a rule when it comes to using symbols (+ -, ↑, ↓ ) to describe the patients diagnosis with out writing out the diagnosis, examples below... are these acceptable to use? Would anyone know where I can find answer to this? Thank you!

    Hyperpotassemia - ↑ K
    Hypertension - ↑ BP
    Hypotension - ↓ BP
    I would say yes - they're easy to understand...this is from Cigna Governmental Services:
    http://www.cignagovernmentservices.c.../cope9014.html
    "CHECK YOUR RECORDS FOR THE FOLLOWING …
    Records are legible; all abbreviations and symbols will be easily recognized by reasonable clinicians..."

  3. #3
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    Default
    Quote Originally Posted by 021402 View Post
    Hello,

    I am looking for an answer to this question. In regards to inpatient services, does anyone know if Medicare (Noridian, Palmetto, Trailblazer) has a rule when it comes to using symbols (+ -, ↑, ↓ ) to describe the patients diagnosis with out writing out the diagnosis, examples below... are these acceptable to use? Would anyone know where I can find answer to this? Thank you!

    Hyperpotassemia - ↑ K
    Hypertension - ↑ BP
    Hypotension - ↓ BP
    In the event that a carrier/auditor does not recognize your physicians symbols, you should incorporate these symbols into your company compliance plan and place these symbols in your compliance plan/manual. When the carrier requests the medical record (for whatever reason) you will want to send them a copy of these symbols and how they translate into the physicians terminology. When our provider creates a unique abbreviation/symbol, we place this information into the physicians file and have the provider sign off on this information. Leaves little room for misinterpretation.

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