altman76
New
When counting for "Category 1" (tests, documents, or independent historian) held within the moderate complexity column what is the TRUE combination of the count? There has been several interpretations to include that if a provider runs 3 tests to include individual lab tests then it is considered as 3 orderings of unique tests which qualifies as the goal met for this column in moderate. So just by ordering 3 or more tests the provider would qualify, because then so many providers across the board would qualify level 4's all day long...
EX: CMP
Lipid Panel
Obstetric Panel
Or is it that there has to be 3 out of the 4 combined below in order to qualify for the moderate complexity column?
- Review of prior external note from each unique source
- Review of the result of each unique test
- Ordering of each unique test
- Assessment requiring an independent historian
Any input on this would be greatly appreciated as there is so many different interpretations of this being provided and we want to ensure that we are giving the most accurate info to our providers involved. Thank you in advance for any help on this.
EX: CMP
Lipid Panel
Obstetric Panel
Or is it that there has to be 3 out of the 4 combined below in order to qualify for the moderate complexity column?
- Review of prior external note from each unique source
- Review of the result of each unique test
- Ordering of each unique test
- Assessment requiring an independent historian
Any input on this would be greatly appreciated as there is so many different interpretations of this being provided and we want to ensure that we are giving the most accurate info to our providers involved. Thank you in advance for any help on this.