I occasionally have to audit visits done by a Rhematologist...a specialty I am not familiar with. This doc tends to favor level 5's and I am just not seeing it. He does have his complete/comprehensive HX and EXAM...but when it comes to the MDM I am not sure.
In the table of risk, it does list under the HIGH risk section "severe rheumatoid arthritis" as an acute illness...and it also lists "drug therapy requiring intensive monitoring for toxicity"
His diagnosis is almost always:
1. Rheumatoid arthritis
2. High-risk medication monitoring
The disease certainly doesn't sound fun, but from his notes I rarely get the impression that it is "acute" or "severe". I admittedly don't know a lot about it though...is it always high risk, or can it be in a controlled low-risk state?
Not so sure about the high risk medication....as the note usually ends with "see pt back in 6 weeks".
Seems like if things were so high risk he'd be seeing them sooner.
This dr is not readily available to me...And so if I do have to approach him, I'd like to not sound like an idiot.
THOUGHTS?? PLEASE??
In the table of risk, it does list under the HIGH risk section "severe rheumatoid arthritis" as an acute illness...and it also lists "drug therapy requiring intensive monitoring for toxicity"
His diagnosis is almost always:
1. Rheumatoid arthritis
2. High-risk medication monitoring
The disease certainly doesn't sound fun, but from his notes I rarely get the impression that it is "acute" or "severe". I admittedly don't know a lot about it though...is it always high risk, or can it be in a controlled low-risk state?
Not so sure about the high risk medication....as the note usually ends with "see pt back in 6 weeks".
Seems like if things were so high risk he'd be seeing them sooner.
This dr is not readily available to me...And so if I do have to approach him, I'd like to not sound like an idiot.
THOUGHTS?? PLEASE??