BC Advantage - 2025 Issue 3

E/M: Column 3 Hospitalization Consideration

Many healthcare professionals face challenges when interpreting the AMA guidelines on high-risk consideration for hospitalization. The only documented reference to this guideline appears on page 7, where it states that a decision about hospitalization should include consideration of alternative levels of care.   This designation of high risk identifies patients whose conditions may require a more advanced level of care than what is available in their current setting. This nuance is vital because it encourages physicians to document beyond a binary decision of admission versus non-admission. Instead, the physician should document the risk to the patient if alternative levels...

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