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Tag Archives: Number

DOJ Pursues a Number Of EHR Cases: Five Things For You to Understand

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The United States DOJ is initiating direct legal proceedings against Hospitals, Health Care systems, and Medical Technology Corporations for submitting an exhaustive number of false claims to both Medicare and Medicaid. This action is in concordance with the Electronic Health Records (EHR) incentive program, per the National Law Review.

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Treament options or number of diagnosis

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Just for clarification, if a patient with no symptoms presents for a consult for screening colonoscopy, would this be scored as self-limited or minor, or new problem additional work-up planned. There is some disagreement in our office about this. Or if anyone could point me to a source to be able to have concrete rules about screening consults that would be great too. Thank you!

Medical Billing and Coding Forum

Medical decision making number of diagnoses and mgt options

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I see that 1 point is awarded for "self-limited or minor (stable, improved or worsening)"
I see that a "new problem to examining MD with no add’l workup" is 3 points
How do we determine whether to count chief complaint or new symptom or acute problem as self-limited or minor,
or new problem with no add’l workup?
New problem to examiner or new problem to patient?

Medical Billing and Coding Forum

What is the average number of provider’s reviewed for E/M compliance

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I am being asked for information regarding productivity of our auditors. Does anyone know what the average number of provider’s reviews for E/M and compliance elements per auditor per year. I am having difficulty finding those numbers and thought perhaps someone has some information or reference for me. Thank you

Medical Billing and Coding Forum

Number of Management Options

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A provider documents 3 diagnoses under Assessment.
Her exams are always level 4 with at least 6 body/organ systems for detailed level 4 exam. History sections vary.
Would visits with level 4 detailed exams and 3 diagnoses under Amount/complexity of data be all level 4? with key factor being at least 3 dx listed in assessment? Assuming table of risk is moderate/level 4 (Prescription drug Management) also assuming 1 or less points under Amount and complexity of data (low or minimal)
thanks

Medical Billing and Coding Forum