tfischer
Guru
Our group just recently took on our first Oncologist. I do quarterly documentation reviews for all physicians within our group, and just met with the Oncologist to go over his documentation. Can someone please help me, and the physician, understand Oncology in the Medical Complexity world when reviewing documentation in the Medical Decision Making part?
Obviously Oncology is a very unique and serious specialty, but when determining the complexity of the problem, how is it NOT going to be high complexity? The physician states that a lot of his patients are going to be high complexity because they have a serious illness that may pose threat to the patient's life. I don't disagree with that, but there are a lot of illnesses out there that may pose threat to the patient's life. I try to educate my physicians by saying, "What was the status of the patient on this particular encounter? If this patient was not in the current deteriation state, then I would probably not code based on a high complexity."
Can someone please guide the Oncologist and myself in the right direction when determining the Medical Decision Making for this specialty.
I would apprepriate any direction!!
Obviously Oncology is a very unique and serious specialty, but when determining the complexity of the problem, how is it NOT going to be high complexity? The physician states that a lot of his patients are going to be high complexity because they have a serious illness that may pose threat to the patient's life. I don't disagree with that, but there are a lot of illnesses out there that may pose threat to the patient's life. I try to educate my physicians by saying, "What was the status of the patient on this particular encounter? If this patient was not in the current deteriation state, then I would probably not code based on a high complexity."
Can someone please guide the Oncologist and myself in the right direction when determining the Medical Decision Making for this specialty.
I would apprepriate any direction!!