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Alpha IIMay 25, 2023 4:21:30 PM

Risky Business – The Continuity of Risk and Impact on Revenue in E&M Medical Decision-Making

The most subjective portion of Medical Decision-Making (MDM) for E&M coding is the risk component. Though the provider is the ultimate person to evaluate risk, there are methods a coder or auditor can develop to mitigate the subjectivity involved. But risk is not the only area to need an assessment. There is a thread of continuity in risk throughout all components of MDM.

LEARNING OBJECTIVES

  • Understand the continuity of risk throughout Medical Decision-Making (MDM) including the Problems and Data Reviewed components.

  • Recognize the importance of diagnosis coding and how it relates to risk and medical necessity.

  • Determine appropriate risk for elements such as SDoH, prescription drug management, COVID, etc.

  • Develop best practices for documentation and communication to mitigate the subjectivity of risk and impact revenue. 

ON-DEMAND RECORDING

 

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