BC Advantage - 2015 Issue 5

EKG Interpretation in E/M Auditing

EKGs: Do you get 2 points for MDM (amount and/or complexity) or 1 point for order/review?When it comes to evaluation and management services (E/M), most auditors would concur that the complexity of medical decision making is the most difficult of the three "key" components to determine. There are three elements of the decision making process, two of which are required to drive the overall complexity of medical decision making (MDM). These three elements are:1. Number of possible diagnoses and/or management options to be considered,2. Amount and/or complexity of data to be reviewed, and3. Overall risk (refer to...

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