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Wiki additional workup

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Valerie71

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In the ED department what would you consider new problem with additional workup?
CT,MRI,U/S with Labs?
Thanks,
 
By definition, additional workup is met when diagnostics are performed after the encounter with the patient. But the ED point of service is a little different because it is inappropriate and not expected that follow-up will occur with the patient. ED is an Acute service so we have to consider diagnostics performed at the time of service to determine the treatment plan at that moment.

I have worked for several ED companies and they all had a protocol that when 2 or more diagnostics or the patient was admitted were considered as additional workup for credit. Because we cannot apply the "normal" rules for ED as then our providers would never achieve a level 5 E&M and since there is no time component available as an option.
 
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