Wiki Medical Decision Making Data Points

njense

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Data Points for Personal Review of EKG tracing



I need advice please on the following:

Data Points in medical decision making, here's the situation:
provider orders EKG and documents personal review of tracing

Data points = 3, one point for EKG order and 2 points for EKG review

I was told the provider cannot take credit for the personal review of the EKG if he/she is also charging for the overread, this can affect the level of service

When I instruct new providers I tell them they can get EKG points for order and review but never mention coding for the overread

what do you think? I can't give credit for personal review in the above situation? I cannot find this rule in CMS

Thank-You,
Nancy Jensen
 
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