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• Eleven Single System Specialty Exams • Contain bulleted exam elements • Count the bullets for exam level 18. Physician Practice E/M Guidelines AHIMA 2009 Audio Seminar Series 10
E/M Documentation Guidelines: Eye Experts Say Use 1997, Not 1995 Version The Health Care Financing Administration (HCFA) says you can use either the 1995 or the []
1997 GENERAL MULTI-SYSTEM EXAMINATION Body Area/System and Elements of Examination Constitutional • Examination of abdomen for notation of masses or tenderness • Examination of liver & spleen • Examination for presence or absence of hernia • Examination of anus, perineum & rectum • Obtain stool sample for occult blood test when
The 1997 documentation guidelines are significantly different from the 1995 Documentation Guidelines. Either set of guidelines can be performed by any physician, regardless of specialty.
E/M Documentation Templates; Page Navigation 1995 Guidelines. The history and medical decision-making criteria outlined in the 1995 guidelines are the same as the 1997 guidelines. The big difference in the guidelines is in the criteria for the examination. The 1995 criteria require less to
In comparing the guidelines, changes to 1997 are as follows: HISTORY – In 1997, an extended HPI includes the status of at least 3 chronic or inactive conditions. This is the only change. EXAMINATION – In 1995, only the multi-system examination was defined.
What is OrthoGuidelines? OrthoGuidelines is an online information resource providing up-to-date treatment guidelines to orthopaedic surgeons and professionals. uth.edu
physician group practice (same physician specialty) within the previous three years. • An interpretation of a diagnostic test, reading an x -ray or EKG •’97=Specialty and GMS: At least 6 elements identified by bullet. Detailed (D): 99233, 99221, 99214 or 99203
Free access to thousands of current clinical practice guidelines and guideline summaries. AABB AIM Specialty Health Academy For Chir