Medical decision making: What is it, why is it important and what steps are involved?

TRUE

FALSE

Test results and other data reviewed

Diagnoses and treatment options

The patient’s risk of complications and/or morbidity or mortality

All of the above

Create a policy defining additional workup. Adding CPT codes to the definition will add clarity.

Define “another healthcare provider.” Create a policy in accordance with the definition, as well as rationale.

Establish a pre-determined MDM level for patients with the same diagnoses.

Determine if carriers require MDM as one of the two factors when leveling services for subsequent visits or established patients.

Minimal

Low

Moderate

High

TRUE

FALSE