CMS criteria for charting - Revision history

Rossdonaldson1: Redirected page to Billing

2021-11-25T11:02:17Z

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2021-11-19T08:31:59Z

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TannerLeeFrey at 08:29, 19 November 2021

2021-11-19T08:29:45Z

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	\| Extensive \|\| Extensive \|\| High \|\| High Complexity		\| Extensive \|\| Extensive \|\| High \|\| High Complexity
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	CMS MDM example.		CMS MDM example.

TannerLeeFrey at 08:29, 19 November 2021

2021-11-19T08:29:07Z

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	Special Thanks to The Center for Emergency Medical Education (CEME) EM ~~Boot~~. https://courses.ccme.org/course/embootcamp?gclid=Cj0KCQiAkNiMBhCxARIsAIDDKNVDk2xQgY-r8-		Special Thanks to The Center for Emergency Medical Education (CEME) ''The Original EM BootCamp.'' https://courses.ccme.org/course/embootcamp?gclid=Cj0KCQiAkNiMBhCxARIsAIDDKNVDk2xQgY-r8-

TannerLeeFrey at 08:19, 19 November 2021

2021-11-19T08:19:24Z

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	\| Extensive \|\| Extensive \|\| High \|\| High Complexity		\| Extensive \|\| Extensive \|\| High \|\| High Complexity


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	CMS MDM example.		CMS MDM example.

TannerLeeFrey at 07:59, 19 November 2021

2021-11-19T07:59:21Z

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	\| Extensive \|\| Extensive \|\| High \|\| High Complexity		\| Extensive \|\| Extensive \|\| High \|\| High Complexity

			CMS MDM example.

			''Multiple possible diagnoses for
			patient’s chest pain considered. After reviewing
			the patient’s medical record, lab and radiology
			results and discussing the case with the patient’s
			PMD, doubt PE as pulse oximetry normal and no
			tachypnea or tachycardia. Dissection unlikely as
			presentation not consistent with the diagnosis.
			ACS unlikely as normal EKG and no risk factors.
			Combination of infiltrate on CXR, fever and
			cough make pneumonia most likely diagnosis.
			Moderate risk of complications. Will treat with
			antibiotics and admit.''



			References


			https://www.cms.gov/outreach-and-education/medicare-learning-network-mln/mlnedwebguide/downloads/95docguidelines.pdf


			Special Thanks to The Center for Emergency Medical Education (CEME) EM Boot. https://courses.ccme.org/course/embootcamp?gclid=Cj0KCQiAkNiMBhCxARIsAIDDKNVDk2xQgY-r8-

TannerLeeFrey at 07:55, 19 November 2021

2021-11-19T07:55:05Z

@@ Line 143: / Line 143: @@
 | Multiple || Moderate || Moderate || Moderate Complexity
 |-
 | Extensive || Extensive || High || High Complexity

TannerLeeFrey at 07:52, 19 November 2021

2021-11-19T07:52:22Z

← Older revision		Revision as of 07:52, 19 November 2021
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	CMS Example of MDM		CMS Example of MDM

			''Multiple possible diagnoses for patient’s chest pain considered. After reviewing the patient’s medical record, lab and radiology results and discussing the case with the patient’s PMD, doubt PE as pulse oximetry normal and no tachypnea or tachycardia. Dissection unlikely as presentation not consistent with the diagnosis. ACS unlikely as normal EKG and no risk factors. Combination of infiltrate on CXR, fever and cough make pneumonia most likely diagnosis. Moderate risk of complications. Will treat with antibiotics and admit.''
	~~“Multiple~~ possible diagnoses for patient’s chest pain considered. After reviewing the patient’s medical record, lab and radiology results and discussing the case with the patient’s PMD, doubt PE as pulse oximetry normal and no tachypnea or tachycardia. Dissection unlikely as presentation not consistent with the diagnosis. ACS unlikely as normal EKG and no risk factors. Combination of infiltrate on CXR, fever and cough make pneumonia most likely diagnosis. Moderate risk of complications. Will treat with antibiotics and admit.”


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	Special Thanks to The Center for Emergency Medical Education (CEME) EM Boot. https://courses.ccme.org/course/embootcamp?gclid=Cj0KCQiAkNiMBhCxARIsAIDDKNVDk2xQgY-r8-~~28gaNGpRrhsd6QI3V3Np0AfEGLejLakpNtqfxY-z8aAvoTEALw_wcB~~		Special Thanks to The Center for Emergency Medical Education (CEME) EM Boot. https://courses.ccme.org/course/embootcamp?gclid=Cj0KCQiAkNiMBhCxARIsAIDDKNVDk2xQgY-r8-

TannerLeeFrey at 07:50, 19 November 2021

2021-11-19T07:50:18Z

← Older revision		Revision as of 07:50, 19 November 2021
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	\| Extensive \|\| Extensive \|\| High \|\| High Complexity		\| Extensive \|\| Extensive \|\| High \|\| High Complexity
	\|-		\|-


			CMS Example of MDM


			“Multiple possible diagnoses for patient’s chest pain considered. After reviewing the patient’s medical record, lab and radiology results and discussing the case with the patient’s PMD, doubt PE as pulse oximetry normal and no tachypnea or tachycardia. Dissection unlikely as presentation not consistent with the diagnosis. ACS unlikely as normal EKG and no risk factors. Combination of infiltrate on CXR, fever and cough make pneumonia most likely diagnosis. Moderate risk of complications. Will treat with antibiotics and admit.”


			For further guidance see MDM documentation and or Differential diagnosis documentation WikEM


			References


			https://www.cms.gov/outreach-and-education/medicare-learning-network-mln/mlnedwebguide/downloads/95docguidelines.pdf


			Special Thanks to The Center for Emergency Medical Education (CEME) EM Boot. https://courses.ccme.org/course/embootcamp?gclid=Cj0KCQiAkNiMBhCxARIsAIDDKNVDk2xQgY-r8-28gaNGpRrhsd6QI3V3Np0AfEGLejLakpNtqfxY-z8aAvoTEALw_wcB

TannerLeeFrey at 05:38, 19 November 2021

2021-11-19T05:38:02Z

@@ Line 121: / Line 121: @@
 '''Medical decision making.'''
-  Complexity matters.
+Complexity matters.
 types of medical decision making recognized.
@@ Line 135: / Line 135: @@
 {| class="wikitable"
 |-
-! Number of diagnoses or management options !! Amount and/or complexity of data to be reviewed !! Risk of complications and/or morbidity or mortality !! Type of decision making !!
+! Number of diagnoses or management options !! Amount and/or complexity of data to be reviewed !! Risk of complications and/or morbidity or mortality !! Type of decision making
 |-
-| Minimal || Minimal/none || Minimal || Straight forward ||
+| Minimal || Minimal/none || Minimal || Straight forward
 |-
-| Limited || Limited || Low|| Low Complexity ||
+| Limited || Limited || Low|| Low Complexity
 |-
-| Multiple || Moderate || Moderate || Moderate Complexity ||
+| Multiple || Moderate || Moderate || Moderate Complexity
 |-