Wiki elements of medical decision making 2021

mjointer

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For the amount and/or complexity of data to be reviewed and analyzed, (each unique test ordered) does it mean for each test that is ordered is counted individually? or if more than 1 test is ordered, do you get credit for ordering the test regardless of the number of tests you ordered?
 
For the amount and/or complexity of data to be reviewed and analyzed, (each unique test ordered) does it mean for each test that is ordered is counted individually? or if more than 1 test is ordered, do you get credit for ordering the test regardless of the number of tests you ordered?
Yes, each test ordered would be counted separately. Ex: TSH, UA, and EKG would equal 3 points for 3 tests ordered.
 
How does the MDM work if tests are ordered in-house but are not resulted until a week later and the patient comes in to review the test and it's not for an annual or physical. Would that be double dipping? How would that work?
 
How does the MDM work if tests are ordered in-house but are not resulted until a week later and the patient comes in to review the test and it's not for an annual or physical. Would that be double dipping? How would that work?
The MDM for the E&M service at each encounter is evaluated on its own merits. There has never been any guidance that says you would exclude the review of a test because it had been counted toward the E&M at a previous encounter when the test was ordered.

The concept of 'double dipping', as related to assignment of E&M levels, only applies to physician work that is counted twice within a given encounter (e.g. by assigning points for the same documented work in two separate categories).
 
The MDM for the E&M service at each encounter is evaluated on its own merits. There has never been any guidance that says you would exclude the review of a test because it had been counted toward the E&M at a previous encounter when the test was ordered.

The concept of 'double dipping', as related to assignment of E&M levels, only applies to physician work that is counted twice within a given encounter (e.g. by assigning points for the same documented work in two separate categories).
Thank you!
 
Actually, ordering a test is now a separate bullet than reviewing a test so I don’t think it would matter. The key is going to be if you billed for the test and there is an interpretation component. If you billed the global you can’t include the review of the test toward MDM.
 
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