siterecords.blogg.se - Average number of prenatal visits

Fetal movement (more than 18 weeks) and.Return Prenatal Visits – The interval history includes: Review of systems with pertinent positives and negatives documented in the health record.Family history, including genetic conditions and.

Risk assessment including, but not limited to:.

Ability to perform activities of daily living (ADLs) and.

Occupational hazards or environmental toxin exposure.

Drug dependency (including type, duration, frequency and route).

Tobacco, alcohol and recreational drug use or misuse and/or exposure.

Family dynamics, with assessment for family violence (including safety assessment, when indicated).

Home environment, including living arrangements.

Social history and health risk assessment including:.

Cervical cancer screening history (date and results of last Pap test or other cervical cancer screening test, and note any abnormal results and treatment) and.

Gynecological and urological conditions.

Menstrual history, including last normal menstrual period.

Pertinent partner history, including injectable drug use and number of partners.

Sexually transmitted infections (STIs), and HIV history, risks and exposure.

Pertinent sexual behavior history, including family planning practices (that is, past contraceptive use), number of partners and gender of sexual partners.

Immunization status and/or assessment, including rubella status.

Allergies, sensitivities or reactions to medicines and other substances (for example, latex or seafood).

Current medications, including prescription, over the counter (OTC), as well as complementary and alternative medicines (CAMs).

Mental health history (for example, depression and anxiety).

Blood transfusions and other exposure to blood products.

Significant past illnesses, including hospitalizations.

Current health status, including acute and chronic medical conditions, if any.

Prenatal Visit – The comprehensive medical history documented at the initial prenatal visit must

Hemoglobin and/or hematocrit, and urinalysis for protein and glucose are also included. Return Prenatal Visit – The follow-up prenatal visit includes interval history, physical examination, risk assessment, medical services, nutritional counseling, psychosocial counseling, family planning counseling and patient education about maternal and child health topics. Components of Return Visit Prenatal Interventions/Screening Prenatal Visit – The first encounter with a pregnant woman includes a complete history, physical examination, assessment, planning, treatment, counseling and education (referral as indicated), routine prenatal laboratory tests and additional laboratory tests as indicated by history, physical exam and/or assessment. Components of Initial Prenatal Interventions/Screening Postpartum visits that are medically necessary are reimbursable and include interval history, physical examination, assessment, family planning, counseling, education and referral, as indicated. See Section 9000, Resources, Reimbursable Codes for the Texas Health and Human Services Commission Family Planning Program. Prenatal and postpartum services must be based on American College of Obstetricians and Gynecologists (ACOG) guidelines.Ĭontractors may bill HHSC FPP for allowable services provided in clinical prenatal care visits for women during the Medicaid for Pregnant Women and the CHIP Perinatal Program enrollment processes.