PamelaJo
Contributor
I just have a few questions regarding the Trailblazer Initial Hospital Care Medical Review Results article Notice ID14580 regarding 99223.
In the sample audited chart, they said they used shortness of breath for the HPI so it could not be used in the ROS. I have never heard that before and the 95 Guidelines state a problem, extended and complete ROS inquires about the system(s) directly related to the problem(s) identified in the HPI plus all additional body systems.
On the MDM, they say prn Morphine. They give this an intermediate eval too. So, if it isn't given, it apparently does not count even though should the patient in an hour have pain that warrants this, it will be given because it is prn. Maybe prn doesn't count as high mdm because the patient has not arrived to that severity presently?
Any thoughts? Thanks.
In the sample audited chart, they said they used shortness of breath for the HPI so it could not be used in the ROS. I have never heard that before and the 95 Guidelines state a problem, extended and complete ROS inquires about the system(s) directly related to the problem(s) identified in the HPI plus all additional body systems.
On the MDM, they say prn Morphine. They give this an intermediate eval too. So, if it isn't given, it apparently does not count even though should the patient in an hour have pain that warrants this, it will be given because it is prn. Maybe prn doesn't count as high mdm because the patient has not arrived to that severity presently?
Any thoughts? Thanks.