For multiple MDM points, tests should be in different sections

Why This Topic Matters

Understanding how tests and records are counted can affect evaluation and management level selection, documentation review, and audit risk. The article is relevant to coders who need to understand the origins of a widely used interpretation and the general framework behind it.

Article Sections

1. Discussion of MDM test counting

   Introduces the coding discussion about how tests and medical records are counted when assessing medical decision-making. Summarizes the controversy that prompted follow-up discussion among coding professionals.

2. Source of the audit interpretation

   Explains where the commonly cited guidance is believed to come from and places it in the context of Medicare audit practices. Describes the general view taken by coding experts without giving procedural instructions.

3. Marshfield Audit Tool table

   Presents the referenced audit-tool framework used in discussions of test and record review. The section outlines broad categories of data reviewed and the point structure associated with them.