I’m a former student trying to pass the CPC exam. How do you figure out the final result for Complexity of Medical Decision Making? Example: 4 diagnosis points (Extensive), 2 data points (Limited), and Moderate Risk. Would the final result be Low, Moderate, or High. I’m desperate for help because we actually didn’t do this in my online class.
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Tag Archives: Decision
Simplify the New or Established Patient Decision
Many evaluation and management (E/M) service codes distinguish between new or established patients. A patient is new if he or she has not received a face-to-face, professional service from the provider, or a provider of the same specialty/subspecialty in a group practice, within the previous 36 months. This is commonly known as the “three year […]
AAPC Knowledge Center
BCBS of Mich. Reverses Decision to Not Cover Hyaluronic Acid Knee Injections
Blue Cross Blue Shield (BCBS) of Michigan is delaying their planned non-coverage of hyaluronic acid injections for knees, slated for April 1. BCBS Pulls Up BCBS giving themselves time to study if hyaluronic acid has the true medical benefit that it claims to have for patients with painful arthritic deterioration. Many patients swear by the […]
AAPC Knowledge Center
Medical decision making number of diagnoses and mgt options
I see that 1 point is awarded for "self-limited or minor (stable, improved or worsening)"
I see that a "new problem to examining MD with no add’l workup" is 3 points
How do we determine whether to count chief complaint or new symptom or acute problem as self-limited or minor,
or new problem with no add’l workup?
New problem to examiner or new problem to patient?
I see that a "new problem to examining MD with no add’l workup" is 3 points
How do we determine whether to count chief complaint or new symptom or acute problem as self-limited or minor,
or new problem with no add’l workup?
New problem to examiner or new problem to patient?
Purchasing Used Medical Equipment – A Wise Business Decision
So, what is the purpose of purchasing pre-owned Medical Equipment and what should I look for in a dealer?
These may be the first questions that come to mind and let us explain…
Many upcoming hospitals or diagnostic centers show the tendency of purchasing used medical equipment and this practice is good for many reasons.
Foremost, brand new equipments are very costly and most hospitals are not in a position to spend large amounts of their budget on brand new equipment.
Running a private hospital or a diagnostic center anywhere in the world is a matter of saving costs when at all possible… and to improve profits, an excellent practice is to always purchase pre-owned or used medical equipments. This must be accepted as a wise business decision.
As far as buying new machines is concerned, underfunded or upcoming centers are encouraged to buy new equipment only after establishing a solid source of revenue and profitability.
Take note of the following points before you finalize the purchase:
– Decide which machines/ equipments you need most.
– Find a genuine supplier of used medical equipment who can deliver you the equipments you require.
– Make sure that the equipments, though used, should be in sound condition.
– Try to have an experienced technician examine them who has the considerable work experience with these machines.
– Go for the deal only when the dealer assures a timely servicing of the machines and equipment.
– Try to ensure that the delivery of the equipments be made in very good and undamaged packaging.
– Before finalizing the payment, try to see the equipment in full function. This is very important to ensure that the machine is fully functional.
– You should ask for a contract with the dealer and during this contract period, the dealer would have full responsibility towards any dysfunction of the equipment.
– Before you finalize the deal you should ensure the credibility of the dealer company. Speak with some of their existing clients and find out about their after sales service.
When you buy used medical equipment, you must always take precautions following the points described. We hope this helps.
Pacific Medical LLC, is a CA, USA based dealer of medical equipments (both new and used). If you run a hospital and are looking to buy used medical equipment like patient monitors, central stations, O2 Blenders, or SpO2 Modules, please contact Pacific Medical LLC now.
Find More Medical Coding Articles
Medical Decision Making
Need Help for MDM level:
Uro provider seeing new pt:
New dx with addt’l follow up planned (coming back for Prostate Needle bx)
UA done
Dx Elevelated PSA- scheduled to come back and have a Prostate needle bx in office- Elevated PSA- options/risk discussed. I consider this Moderate..provider is considering it HIGH. Which level would any other coders/auditors feel this RISK would be?
Thank you
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Shared Decision Making
Can anyone tell me if there are cpt codes for shared decision making? One of my providers was told this could be billed for but I can’t find any cpt codes that will cover it.
Decision for surgery “57” question…..
I have a patient who had a major procedure and two days later developed a complication that required a return to the OR for another major procedure. My question is if the E&M performed the day the decision to return to the OR can be billed with a 57 and separately reimbursed or if it is considered part of the global of the 1st procedure and not reimbursable.
Medical decision making for obstructive sleep apnea
I am a new pulmonary coder and am having trouble figuring out if OSA is moderate or low decision making when it is the only problem/dx. Can anybody advise?