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thesullivangroup / TSG_Dictation_App_Demo

Demo version of a TSG app for guiding and monitoring documentation
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I want to see a billing calculator in the dashboard in place of current "Recommended score" #21

Closed flanaganjames closed 10 years ago

flanaganjames commented 10 years ago

We will count four system groups: HPI, ROS, PFSH, and Exam Each group has a specific number of defined systems within it: HPI 8, ROS 14, PFSH 3 and Exam ___ The HX (History) super group includes HPI, ROS, and PFSH. EX has only one component, Exam.

HPI score computed from these 8 elements: location, severity, timing (includes onset progression), quality, duration, context, modifying (relievers, aggravators), associated symptoms) None = 0 elements Brief = BRF = 1 to 3 elements (no elements = no score) Extended = EXT = 4 or more elements (or 3 statuses of chronic illnesses)

ROS score computed from these 14 (ROS) elements: constitutional, eyes, ENT, Cardiovascular, Respiratory (chest), Gastrointestinal (includes abdomen/rectal), Genitourinary, Skin (Breast), Musculoskeletal, Neurologic, Psychiatric, Hem/Lymph, Endocrine, Allergy/Imm. None = no elements Problem Pertinent = PP = 1 element Extended = EXT = 2-9 elements Complete = COM = > 9 elements

PFSH score computed from these 3 elements: Past Medical History, Social History, Family History None = no elements Pertinent =PP = 1 element Complete = COM = > 1

The HX score is computed as follows. To meet a higher level, all three components meet or exceed HPI ROS PFSH NONE = Problem Focused = BRF NONE NONE Extended Problem Focused = BRF PP NONE Detailed = EXT EXT PP Comprehensive = EXT COM COM

The EX score is computed as follows: 1995 rules (implement these for now) NONE = PF = 1 EPF = 2 - 7 (cursory level) (credit this level as default for a given system) DET = 2 - 7 (all at detail level) (if VB or MU reports detail level) COM = > 7 (cursory level) or 1 (at complete level) (VB or MU will report complete level)

In the ED the levels of billing (1 thru 5, 5 is more) are achieved with the following values of HX and EX. The highest level drops to the lower of EX and HX. (Example: for HX=PF, EX=COM, highest billing level is 1) HX EX Highest Billing level PF PF 1 EPF EPF 3 DET DET 4 COM COM 5

The visual display will report the following

For # elements Level (definition) HX -------------- EPF
HPI 2 Brief (1-3) ROS 5 Extended (2-9)
PFSH 1 Pertinent (1) Exam 1(complete) Comprehensive (8/1)

3 is the Highest Billing Level supported

jeffrey-l-copeland commented 10 years ago

Adding the reference link from Jim's followup email: http://www.palmettogba.com/palmetto/providers.nsf/files/established_patient_score_sheet.pdf/$file/established_patient_score_sheet.pdf