tci Part B Insider - 2003 Issue 22

Medical Decision-Making: Chronic Complaints Mean Low Levels? Not So Fast

Don't cheat yourself on medical decision-making for chronic patientsWhen a patient comes in with a minor or long-term condition related to aging, such as osteoporosis, many doctors and coders automatically see a low-level evaluation and management visit (say, a CPT 99212 ) on the way. But some of those patient visits can turn out to be higher-level E/M requiring more complex medical decision-making. It starts before the patient even shows up, says coding expert Michael Miscoe with Practice Masters in Central City, Pa. "Even the dumbest problems can score high in decision-making," he says. "You can...

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