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Medicare Compliance & Reimbursement

Industry Notes:

This MAC Spells Out 'High Risk' MDM Component

Published on Tue Apr 21, 2015

If you’re trying to achieve a higher medical decision-making (MDM) level because your patient gets insulin drips, your documentation must include specific criteria or your “high risk” MDM could be out the window. That’s the word from Palmetto GBA’s recent “E/M Weekly Tip,” which the MAC posted on March 24. “An intravenous insulin drip is considered ‘high risk,’” Palmetto says. [...]
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