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Thread: Medical Decision Making Tool

  1. #1

    Default Medical Decision Making Tool

    AAPC: Back to School
    Can you capture a patient referral for consultation documented in progress note under assessment/plan in the MDM? If yes, is there any website or guidelines to back this up?


  2. #2


    If the patient is referred to another physician for care----no
    If a consult is requested from another physician----yes

    Texas Trailblazer allows 1 point under the Data Portion of MDM

    "Discuss case with other physician(s) involved in patient’s care or consult another physician (i.e., true consultation meaning seeking opinion or advice of another physician regarding the patient’s care). This does not include referring patient to another physician for future care."

    Here is a link to their audit tool

    Last edited by sbicknell; 08-22-2010 at 07:56 PM.

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