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Episode Details
Co-hosted by: Taya Moheiser & Kem Tolliver.
This is the second episode of the RevDive podcast. Be sure to check the podcast page for future episodes.
This episode is a continuation of episode #2, part 1, that focused on activities that may be included in time-based scoring of evaluation and management codes (E & M). We discuss the recent E & M clarifications published by the American Medical Association (AMA) that provide further guidance on the use of Medical Decision Making as a factor for leveling E & M services.
- These clarifications were published on March 9th, 2021 and effective on January 1, 2021
- We will review several key Medical Decision Making (MDM) factors that providers will need to understand for scoring Evaluation & Management Services
- The key clarifications that will be discussed include:
- Presenting Problems & Risk
- The term, “Analyzed” for reporting a test in the data column
- The term, “Unique” Test when factoring the number of tests ordered and or reviewed
- The term, “Discussion” between providers, how it can be counted towards MDM and the criteria necessary to factor discussions into MDM
- Factoring in Social Determinants of Health into the table of risk of complications
- Factoring in tests considered but not ordered into the test results category for MDM
Find out in this timely episode and subscribe for future #RevCycle updates with RevDive.
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