Internal Medicine Evaluation & Management Audit Form 1995-2024 free printable template
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EAM guidelines for 95 versus 97 the first person wrote a CEM guidelines 95 and 97 used in prep tests for the CPC can you explain what these guidelines are I'm not sure what these are and then number two can some doctors in our hospital like general practitioners and internal medicine Doc's document their outpatient visits according to 1995 guidelines and at the same time general surgeons' urologist ORGAN eye and ENT specialists document their outpatient visits according to 97 guidelines so ultimately when the external audit occurs how do this how these charts can be audited according to 95 guidelines or 97 so let's take a look at the answer sheet prepared so what I did is I took a screenshot of my actual manual because I do like you know when I teach everything to take you right to the book versus just typing a bunch of stuff on a slide, so you can really see things in context so in your CPT manuals you have this in the Camp’M guidelines and there's this step here determine the extent of exam performed I have it labeled number two because the first step is figuring out the history and there's four levels in the CPT manual and this way of doing ENM came about in 1992 so if you don't really call it 92 guidelines but just to give you a little history that's when it started, so they've got four scores that you can have four score and no never mind on problem focused expanded problem focused detailed or comprehensive now part of my technique when I'm teaching ENM is I teach you to convert these phrases two to one letter so PE DC problem focused expanded problem focused detailed comprehensive, so this is what doctors had to first start with prior to that they were just coded by time oh ten minutes it's a level one twenty minutes is a level two the higher the level the more money, so they came out with these guidelines and this is the problem if you problem focus is easy it's a limited exam of the affected body area or organ system so if they come in with pain in their knee well the doctor isn't going to do a full workup they're just going to focus on their knee, so that would be problem focused expanded problem focused it's a limited exam of the affected body area or organ system and other symptomatic or related organ systems, so I call it a limited plus, so it's that one organ system the reason they came in and maybe one more for example if a patient comes in with a headache you know it could be stress related, or it could be something very serious like a tumor, so they might um you know do a like a neurological type questions and look at a couple organ systems to try and figure out what they're dealing with then a detail level of exam is an extended exam of the affected body area and other symptomatic or related organ systems this is almost word for word the same as expand a problem focus, but the only difference is limited versus extended that's really the only difference and then comprehensive is a general multi-system exam or a complete exam of...
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