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#31162 06/04/2011 3:25 PM
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Here are the known conditional text items

%AGE
%sex
%FNAME
%LNAME
%MR
%him
%he
%his
%Him


Wendell
Pediatrician in Chicago

The patient's expectation is that you have all the answers, sometimes they just don't like the answer you have for them
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Wandell
Would you please share some of your templates containing those conditional text as examples.
I appreciate your help


Mohamed Salem MD, FACS
General Surgery
Northwest Ohio
Wendell365 #31183 06/05/2011 12:03 AM
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I can't get %MR to work? Am I doing something wrong


Travis
General Surgeon

Wendell365 #31189 06/05/2011 12:51 AM
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Originally Posted by msalem
Wendell
Would you please share some of your templates containing those conditional text as examples.
I appreciate your help

These conditional items were from a talk I participated in at the ACUC and several people asked to for the conditional items.

The templates were not that good, as they were really made just to show what could be done.

I have seen %MR but it did not work for me. I meant to take it out but in my rush to get it posted after the meeting, I didn't exclude it.

Anyway, here is the text from a template:
%MR %FNAME %LNAME is a %AGE year old with cough and runny nose. %he has no fever %his feet are getting bigger everytime he talks. They also hurt %him


%Him


Wendell
Pediatrician in Chicago

The patient's expectation is that you have all the answers, sometimes they just don't like the answer you have for them
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Coding charts with templates

When setting up a template for the HPI, ROS and PE remember AC can track the billable points if you put a recognizable symbol in front of the section. For example here is one of my ROS templates:

ALL NEGATIVE EXCEPT IF + SIGN
*General : Fever, Sweats, Chills, Myalgias, Fatigue
*Neurological : Headache
*ENT : Ear Pain, Mouth Pain, Tooth Pain, Sore Throat, Hearing Loss, Nasal Discharge, Nasal Congestion, Hoarse Voice, Sinus Pressure
*Respiratory : SOB, Cough, Wheezing, Hemoptysis, Pleuritic Pain
*Cardiac : Chest Pain or Pressure
*GI : Abdominal Pain, Nausea, Vomiting, Diarrhea,
*Immune : Itchy Eyes, Sneezing, Swollen glands

When signing the chart off, if you use the ?E&M Coding Helper? you will see in the center the ?>? sign in a box under the title ?Select A Delimiter? and that symbol will silently be counted as your billable points for HPI, ROS & PE. Then the only thing you have to do is pick the Medical decision making level. AC picked the ?>? symbol but many people use this sign for their documentation. I used the > sign but it was pointed out how it can used in the text so I will be switching to ?*?. Here is an example of a PE:

*General: Alert, responds appropriately, NAD
*Eyes: Sclera, Conjunctiva & Lids appear normal
*Pinnae & Nose: Normal Appearance, No Mass, Not Tender
*Ears :Tympanic Membranes & EAC - normal
*Nose: Mucosa pink, no edema, no bleeding, Sinuses are not tender
*Mouth: Teeth, Gums, Lips and Tongue - Normal
*Throat: Tonsils not red or enlarged, No Exudates, Palate normal, tongue normal, Voice Normal
*Neck : No Masses, No Crepitance
*Cervical Nodes : Anterior & Posterior Cervical Nodes Normal Size and Not Tender
*Respiratory Effort : No Retractions, No Respiratory Distress, Normal Respiratory Rate
*Respiratory Auscultation: No Crackles, No Wheeze, No Rhonchi, Good Breath Sounds
*Cardiac Auscultation : RRR without Murmur

I need to make more changes to my templates but when I?m done I will put them on the web.
Please remember if you create template like this to help your coding, if you don?t do a particular point you will need to remove it so it is not counted. That could be fraudulent.


Karl Felber DO
Urgent Care Medicine
Pawtucket, RI
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Karl -
How do you change the delimiter. I'd like to use * or maybe ~, but when I change the symbol in the E/M coder screen box, the change does not stick, and it reverts to >.

Thanks.


Steven L. Hersch, MD, FACP
MeducationPC
Ashland, OR
meducation@jeffnet.org

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