Results 1 to 6 of 6

95 vs 97

  1. Default 95 vs 97
    Medical Coding Books
    Hi,

    Can someone please explain the following to me:

    The major difference between 95 & 97 guidelines

    I remember it being something about 3 chronic conditions but I can't remember the exact or similar wording..

    Thanks

  2. #2
    Location
    Spring Hill
    Posts
    65
    Default 95 and 97
    It is much more specific go to medicare learning network and you can download guidelines for each

  3. #3
    Default
    Quote Originally Posted by msbrowning View Post
    Hi,

    Can someone please explain the following to me:

    The major difference between 95 & 97 guidelines

    I remember it being something about 3 chronic conditions but I can't remember the exact or similar wording..

    Thanks
    The exam is different as well as the 3 chronic conditiions. It would be best if you printed out or read both sets of guidelines. I keep both on my desk, just in case
    Roxanne Thames CPC, CPC-I, CEMC
    rthamescpci@gmail.com


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

  4. Default
    Ok, thank you, but what is it about the 3 chronic conditions that's different? That's where I get confused..

  5. #5
    Location
    Spring Hill
    Posts
    65
    Red face Chronic condition
    If I remember correctly 3 chronic conditions can qualify for extended hpi with cc. This is from memory.
    Pm for any questions I work with 95 and 97 guidelines every day and night. I audit e/m charts using both guidelines.

    Aimie:

  6. #6
    Default
    Quote Originally Posted by msbrowning View Post
    Ok, thank you, but what is it about the 3 chronic conditions that's different? That's where I get confused..
    The provider must document the status of atleast 3 chronic conditions. Example: DM stable on ____ meds.


    Not just giving the "laundry list of dx's. Like, patient has DM, HTN and Hyperlipidemia with no elaboration.

    I still suggest you read the DG for yourself.
    Roxanne Thames CPC, CPC-I, CEMC
    rthamescpci@gmail.com


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

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.