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Thread: Comprehensive Exam '95

  1. #1
    Join Date
    Apr 2007
    Springfield, Mo

    Default Comprehensive Exam '95

    AAPC: Back to School
    By '95 guidelines a "comprehensive exam" can be "a complete examination of a single organ system", buy what constitutes "complete"? And can someone point me to some documentation of that?
    solocoder CPC

  2. #2
    Join Date
    Apr 2007
    Milwaukee WI

    Default There is no documentation guideline

    1995 guidelines are very vague. There is NO guidance anywhere that will define what is meant by a complete examination of a single organ system.

    What I tell my physician - in particular the specialists who like to use this - is that they should outline a comprehensive exam for their system specialty. They should break it down into bullet points, and then determine how many of those bullet points constitute a DETAILED exam, and how many constitute a COMPLETE exam. They should keep this in their compliance plan and ensure that they use it in determining level of service. In this way they will have a defensible position when audited.

    A good place to start is with the 1997 specialty exams.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

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