If a physician dictates the results of labwork that was done while being seen in the ER or in the course of admitting that pt from the ER, does that warrant 1 point for review of labs or 2 points for reviewing and summarizing old records? For example, a patient comes into the ER and lab tests are ordered. In the meantime, the general surgeon is called. By the time he gets there, the tests are finished and he dictates the results into his note and decides to admit the patient. Under data reviewed, does the gen. surgeon get 1 or 2 points? There's a difference of opinion so I'm hoping to gather any insights.
Thanks for your thoughts-Sue
Thanks for your thoughts-Sue