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MDM - Reviewed Data

  1. #1
    Default MDM - Reviewed Data
    Medical Coding Books
    If a doctor reviews an echocardiogram from 2004 would that would count as 1 point for review of test in medicine section, not 2 points for review of old records, right?

    Thank You
    Debby

  2. #2
    Default
    Quote Originally Posted by debsimnz View Post
    If a doctor reviews an echocardiogram from 2004 would that would count as 1 point for review of test in medicine section, not 2 points for review of old records, right?

    Thank You
    Debby
    Did the provider document the specific findings of the echo from 2004? If so, I would give it 1 point for review of medicine test. A simple, 'EKG reviewed' notation doesn't meet the requirement.

    Review of old records, for example, would be used if say the patient moved to another state and the brought their medical records.

  3. #3
    Location
    Milwaukee WI
    Posts
    4,466
    Default Reviewing the actual test or the report?
    If he's actually reviewing the test results (and summarizing his findings) then I'd give 2 data point for independent visualization.

    If he's reviewing the the report of an echo then I'd give him 1 point for reviewing the test.

    If he's reviewing not only this old echo, but other patient records from that time period, I'd give him 2 points for the old records review ... as long as s/he also summarized what s/he found.

    F Tessa Bartels, CPC, CEMC

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