What levels of medical decision-making (MDM) did you select for the scenarios in the You Code It! article earlier in this newsletter? As a reminder, the Table shows the levels of MDM based on 2 of the 3 elements.
The elements of MDM in the scenarios provided are as follows:
The overall level of MDM is high based on 2 of 3 elements—extensive number of diagnosis/management options and high risk associated with RSV bronchiolitis.
The overall level of MDM is moderate based on all 3 elements of risk.
If the documentation fails to note any of the 3 elements of MDM, the level of MDM and, ultimately, the level of service may be reduced.
The overall level of MDM is moderate based on 2 of 3 elements.