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HPI Component

  1. #11
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    Duluth, Minnesota
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    Medical Coding Books
    Doreen,
    exactly! how can there be an "associated NON sign or symptom"? If there isn't a sign or symptom, how is it associated then? At least that's the way I see the negatives. And yes, I'd count them under ROS.
    Fortunately I'll be going to another work shop on E/M coding at the end of August I have my questions ready for the speaker!

    it's good to know I wasn't so "off base" in my line of thinking...great to know other coders tend to count components the same way.
    Donna, CPC, CPC-H

  2. #12
    Location
    North Carolina
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    3,126
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    Hey Donna...

    Will you be sure to post what you find out? I'm going to a Medicare E/M workshop in two weeks. Hopefully, I don't get escorted to the door before I have all my questions answered. (Hee Hee)
    Rebecca CPC, CPMA, CEMC




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  3. #13
    Location
    Duluth, Minnesota
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    this just in from a Senior Consultant: From the consultant that will be giving the E/M auditing presentation I'll be going to on August 28th!
    "HPI associated signs and symptoms can be positive OR negative; provider gets credit for asking, even if patient says there are none.
    Hope that helps,
    Nancy
    Partners Healthcare Consulting, A Service of WIPFLi LLP"



    well, it didn't help it made matters worse! LOL.. I'll be talking to her in August face to face about this. I've been looking everywhere for hard copy information on being able to do this (negatives counted in HPI) but haven't found anything. Only, opinions. I've looked at a few E/M's that I've recently completed, and honestly - if I start throwing negatives in the HPI I can get a level 4 E/M almost every time! I don't think outside auditors are going to like that!

    Rebecca - I'll let you know what she says after August 28th. and would you please ask the same question at the Medicare workshop, I'd be interested to know their take on it too!
    thanks!!
    Donna, CPC, CPC-H

  4. #14
    Location
    North Carolina
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    Donna,

    As I promised...I wanted to report what Medicare stated in front of an entire audience

    Q:Can the provider receive credit for positive and negative HPI? Example: Provider documents...Chest pain-no other associated signs and symptoms

    Medicare's representative response-

    A: A Provider can receive credit for documenting positive and negative responses for HPI.

    Comments?
    Rebecca CPC, CPMA, CEMC




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