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Pediatric Coding Alert

Auditing Corner:

Get 411 on Allergy, Cyanosis Terms to Up These Counts

Published on Fri Apr 03, 2009

NKDA and C/C/E wont trip you up thanks to quick quiz. Even an auditor experienced with the CMS standard worksheet might stumble over some medical abbreviations and terms, missing eligible items. Heres a quick primer to improve your documentation reading. Give Physician Flex Credit for NKDA Question 1: You see NKDA in a charts review of systems (ROS). Can NKDA count as: a. ROS -- allergic/immunologic b. Past history c. HPI d. a or b Answer 1: D. You cannot double dip! Although you cant give credit for No Known Drug Allergies (NKDA) under both ROS and past family social history, the abbreviation can fall under either history element. Reviewer B may state that the documented NKDA constitutes an element of ROS or conversely an element of Past history, according to Stephanie Jones, CPC, CEMC,vice president of product management for the American Academy of Professional Coders in Salt Lake City. Become [...]
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