Wiki Points for Referring Patient elsewhere

cbooker

Networker
Messages
37
Location
Harrisburg, PA
Best answers
0
When performing an E/M audit does the physician receive any points in medical decision making under Amount and/or Complexity of Data Reviewed for referring a patient to another physician.
 
Depending on who/why they are sending them to and for what reason they could get credit under the table of risk.

Laura, CPC, CEMC
 
So lets same patient was see by his PCP and found to have rectal bleeding. PCP sent pt to gastroenterologist to be evaluated.
 
That would most likely fall under moderate for either 1 of 2 reasons.

1. You could consider that and undiagnosed new problem or
2. If the intent is for a colonoscopy to be done, it would be a diagnostic endoscopy w/no identified risk factors.

Unless of course there are risk factors in which case you would get high.

Laura, CPC, CEMC
 
Data points

IF your documentation said something along lines of: "I'm going to talk to Dr X in Cardiology about this..." then I'd give data points for "discussion of case with another health care provider."

F Tessa Bartels, CPC, CEMC
 
Top