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Thread: MDM-Auditing E&M

  1. #1

    Question MDM-Auditing E&M

    AAPC: Back to School
    When determining risk (based on the Table of Risk), would the performance of a bronchscopy without the risks being indentified and the patient not having any respiratory co-morbidities, be classified as moderate risk? "Diagnostic endoscopic with no identified risk."

    Does the risk have to be listed in order to classified as high or can the risks be "implied"?

  2. #2
    Join Date
    Apr 2007
    Milwaukee WI

    Default Identified Risk Factors

    To qualify as High risk on the MDM table of risk, IDENTIFIED risk factors must be clearly and specifically stated by the provider. They can not be implied.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  3. #3

    Default Thanks

    Thanks for responding. I felt the same way. However, Dr. had been trained in past that "implied" risk justify a high risk.

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