Wiki Level Of Care Determination

[penny48]

Hello,

I am doing level of care audits. I am not a CPMA, I am studying to become one. I have been to CPMA boot camp and failed the test twice by 3%. I remember in the boot camp, When you come to the part of the audit for the level of service, and you do not have 2 components with the same shaded area you would use the one in the middle of the three? i.e. EPF; Mod; Comprehensive. Is this correct?

 

[linz1works4doc@hotmail.com]

E&M leveling

Rules are of course contingent on new or Established patient and POS but this is the tool I like best

https://www.ngsmedicare.com/ngs/wcm...cumentation_Training_Tool_508.pdf?MOD=AJPERES

 

[linz1works4doc@hotmail.com]

adding to above

This line below has changed according to last years CMS conference; you can now use both 1995 and 1997

Page 2 of 6
2
?
Examination
Refer to data section (table below) in order to quantify. After referring to data, identify the type of examination. Circle the type of examination within the appropriate grid in Section 5.
Note:
Choose 1995 or 1997 rules, but not both