Help with MDM data points
This question has been asked before, but I need someone to further clarify this for me please.........
Under the MDM part of the an audit under the Amount and/or Complexity of Data Reviewed, if the provider ordered and/or reviewed an x-ray, then one point is assigned. If there is an indepenedent visualization of image, tracing, or specimen (not simply review of report), then 2 points are assigned. Does this mean that if the provider orders an x-ray and then documents that he/she independently reviewed the film that a total of 3 points are assigned? Would this not be considered douple-dipping? I was always under the impression that in order to recieve the two points for the independent review the provider had to perform the x-ray themselves and own the equipment.
Can someone please clarify this for me and provide me with the guidelines that explains the correct way to assign the points for this? I have a provider who is questioning an audit and thinks that she should recieve three points because she ordered the x-ray and then looked at the film. Any insight is appreciated. Thanks so very much.
Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P