1formissy
Guru
Just when I think I got it, now I dont! I have been following the Novitas 4x4 rule, when it comes to determining the Exam portion of the medical record. It was my understanding, that the record needs to be 4 body areas, OR 4 ogan systems, but not a combination of both.
For example,
Consititutional = 1
Eyes= 2
Cardiovascular= 3
Gastrointestinal= 4
To me, that would be a DETAILED exam. HOWEVER, say for example you see this in a record....
Constitutional=1
Neck= 0
back=0
Respiratory=1
To me, that would be a EXPANDED PROBLEM FOCUSED exam.
Am I looking at this wrong?
For example,
Consititutional = 1
Eyes= 2
Cardiovascular= 3
Gastrointestinal= 4
To me, that would be a DETAILED exam. HOWEVER, say for example you see this in a record....
Constitutional=1
Neck= 0
back=0
Respiratory=1
To me, that would be a EXPANDED PROBLEM FOCUSED exam.
Am I looking at this wrong?