Results 1 to 3 of 3

RE: Diagnosis Management Options

  1. Default RE: Diagnosis Management Options
    Medical Coding Books
    The new problem, additional workup planned (4 Points) under diagnoses and management option is sometimes confusing to me. If our doctor is the actual admitting doctor, but the tests were ordered originally by the ER doctor, would this be considered an additional workup if they were not ordered by the admitting doctor. Often times that questions is the only thing keeping our doctors from going from a moderate to a high complexity category.

    I believe that our doctors are often in charge of directing the ER doctors to order certain tests to determine the dx, but it is often hard to determine whether they stepped in after the final diagnoses was known and then admitted the patient.



  2. #2
    Kansas City, MO
    I personally would not give credit to the doctor for the tests, unless it is specifically documented that the doctor ordered them.

    If your doctor is indeed in charge of "directing" the other staff he should document as such, and then I would allow credit...even if it said "we ordered a ..whatever.... to determine..whatever...."

    I think if you are truly having trouble determining who stepped in where, then you shouldn't give credit. The record should be clear.

  3. Default
    I appreciate your reply. It certainly sounds reasonable. Sometimes I just need a good sounding board to feel confident in my decisions.



Similar Threads

  1. Diagnoses/management Options
    By Jlokloski in forum E/M
    Replies: 7
    Last Post: 07-01-2015, 06:17 AM
  2. Drug Management Options
    By maryjoanna152 in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 07-01-2013, 05:56 PM
  3. Diagnosis and Management Options
    By solocoder in forum E/M
    Replies: 1
    Last Post: 05-09-2013, 01:12 PM
  4. Management options/MDM
    By Lorijo in forum E/M
    Replies: 1
    Last Post: 02-22-2012, 10:22 AM
  5. Management Options
    By hyunck in forum E/M
    Replies: 3
    Last Post: 03-24-2010, 01:20 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.