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Auditing Newbee

  1. #1
    Naples Florida
    Smile Auditing Newbee
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    I am new to auditing and trying to get things together as I have taken on a new role. I am taking the NAMAS auditing class this weekend and I am hoping to learn alot!

    I am using the 97 guidelines and have a question regarding the exam: When the doctor indicates "Face exam normal". I am not sure if this gets credit as it seems that alot of physicians are using this term. Does this get scored?

    There are so many tools and templates out there, I can not seem to determine which one is best suited for scoring using 97 guidelines. Any thoughts?


  2. #2
    Naples Florida
    If it clarifies more, I am using a template for general multisystem. It appears that other templates use this term and gives credit, but I am not sure about this.

    I am auditing for Pediatrics E/M codes.


  3. #3
    Here is a link to Highmark Medicare's score sheets, just click on the score sheet you want. Then review the bullet's for each organ system. I believe the statement you mentioned would fall under Musc.

    Roxanne Thames CPC, CPC-I, CEMC

    "Remember the greatest gift is not found in the store but in the heart of true friends"

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