sinman0531
Guru
- Messages
- 104
- Location
- Dunnellon, FL
Hello! I work for a hospital as an audit and education specialist. I'm the one on the team responsible for the majority of the work of putting together in-service presentations. We are currently doing an E/M leveling series, and I am getting some conflicting information on using the same thing across both data and risk.
For example, patient is inpatient and sees GI. GI wants to order an ultrasound and a bunch of lab work. Both of these things count towards data. However, per the SOHM they also should count towards *risk* because we are continuing testing and there is some inherent risk with every procedure even something as inconsequential as a venipuncture. A co-worker who is in my department but not on my team thinks that's double dipping but I disagree. I cannot find anything one way or the other that clarifies, even going back to 1995/97 guidelines.
Can anyone help?
For example, patient is inpatient and sees GI. GI wants to order an ultrasound and a bunch of lab work. Both of these things count towards data. However, per the SOHM they also should count towards *risk* because we are continuing testing and there is some inherent risk with every procedure even something as inconsequential as a venipuncture. A co-worker who is in my department but not on my team thinks that's double dipping but I disagree. I cannot find anything one way or the other that clarifies, even going back to 1995/97 guidelines.
Can anyone help?