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Palmetto GBA - Nevada: Update History of present illness

  1. Default Palmetto GBA - Nevada: Update History of present illness
    Medical Coding Books
    Hello,

    I hope someone can answer this for me. I went onto the Palmetto GBA for Nevada and California. I saw an update on the history of present illness that was dated 6/11/2011, that shows that you can only use the status of 3 chronic or inactive conditions for 1997 guidelines ONLY. Has it always been this way? Or is this something new? This was the first time ever that I saw this new rule...

    Thanks

  2. #2
    Location
    Milwaukee WI
    Posts
    4,466
    Default 1995 guidelines vs 1997 guidelines
    The 1995 guidelines did NOT include an option to use the status of 3 chronic conditions as HPI. This was introduced with the 1997 guidelines.

    SOME carriers, however, allow you to use the 1997 guidelines for the history (i.e. status of 3 chronis conditions), while using 1995 guidelines for your exam.

    Apparently your carrier is NOT one of those.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  3. Default
    Quote Originally Posted by FTessaBartels View Post
    The 1995 guidelines did NOT include an option to use the status of 3 chronic conditions as HPI. This was introduced with the 1997 guidelines.

    SOME carriers, however, allow you to use the 1997 guidelines for the history (i.e. status of 3 chronis conditions), while using 1995 guidelines for your exam.

    Apparently your carrier is NOT one of those.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC
    Thank you Ms. Bartels for replying, I will carry this to my physicians in Nevada...have a great day!

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