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Medical Decision Making - additional work-up

  1. #1
    Location
    Greenville, SC
    Posts
    51
    Question Medical Decision Making - additional work-up
    Exam Training Packages
    If a physician schedules major surgery to treat a new problem, identifying risk factors, etc, is this considered additional work-up (in the context of Medical Decision Making), giving 4 pts towards the number of diagnoses or management options? I cannot find anything concrete as to how "additional work-up" is defined.

  2. #2
    Location
    Milwaukee WI
    Posts
    4,466
    Default Not to me
    Scheduling surgery does not equal "additional work-up" to my way of thinking.

    Scheduling additional diagnostic procedures (e.g. colonoscopy to discover reason for blood in stool), requesting additional consultation, ordering additional tests are all examples of what I consider as "additional work-up."

    F Tessa Bartels, CPC, CEMC

  3. #3
    Location
    Greeley, Colorado
    Posts
    2,045
    Default Table of Risk
    I am in complete agreement with Tessa. In this scenario it would appear that the work up has been done and decision for surgery made, which falls into the table of risk.
    Last edited by Lisa Bledsoe; 03-18-2009 at 07:26 AM.
    Lisa Bledsoe, CPC, CPMA

  4. #4
    Location
    North Carolina
    Posts
    3,126
    Default
    Agreed...this is how I utilize the audit tools, also

  5. #5
    Location
    Greenville, SC
    Posts
    51
    Default
    Sounds good. Thanks all!

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