diabetes physician audit tool

Instructions for the Diabetes Physician Audit ToolStep 1:Choose and pull the records25 medical records of patients with diabetes should be reviewed. The records will be chosen from a randomsampling of all patients with a diagnosis of diabetes (ICD9 code 250, 357.2, 362.0, 366.41, 648.0) betweenthe ages of 18-75. To obtain this sample, use a claim computer system query that includes all patients withthe above age and diagnostic codes. Then, take the entire number, divide by 25 and take that interval forthe sample frequency to pull the records. Do not use patients with late-stage renal disease.Example: If 100 patients show up on the computer report as having any of the above ICD9’s, divide 100 by25 = 4. Take every fourth name for the audit.Step 2: HbA1c -- two componentsFor any time in the past six months, find if HbA1c (also known as A1c) was done. If it was done, put acheck in the “yes” column (column 2). Then record the actual results in column 4 if 7.0 or less and column5 if more than 7.0.If it the HbA1c was not done, put checks in both the “no” column (column 3) and “More than 7.0”column under “HbA1c result” (column 5).You may find the value under any of the following names: look for the HgA1c, HgbA1c, glycatedhemoglobin, glycosylated hemoglobin, A1c, glycohemoglobin A1c, or hemoglobin A1c. The CPT code forthis test is 83036. Typically you will see a note that the HbA1c is “certified as traceable to the DCCTstandard”.Step 3: Eye Exam by an ...