Ltoth
Networker
Thank you for your help.
Lisa
We are wondering if you audit a chart for say bronchitis but the patient also has one or all of the following listed in the PAST HX. if you use it as well. The dx. being..... hypertension, diabetes, Parkinson's, COPD, etc. We are not using them if the provider is not addressing them but are now questioning ourselves.
Thank you for your help.
Lisa
Sometimes underlying conditions do influence decisions - as stated in Laura's example - and in such cases I do count those. If they don't have an impact, I would not count them. I would credit Past History and also consider all the conditions the patient has to deal with when looking at the table of risk. Even if the provider is not currently actively dealing with the issue(s), it still adds to the risk for the patient.
Karolina, CPC
I agree with that, mine do to. In the given example it seemed limited to the past hx. Thanks!