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BOOK SUMMARY :

Medicare discovered that auditors were having a hard time nailing down the level of medical decision making during the medical review process in response to this problem a more objective medical decision making point system was developed by cms although not part of the official em guidelines this mdm point system was distributed to all table 5 outlines activities that determine the level of medical decision making risk but it does not rely on a points system for risk assignment to determine the level of medical decision making providers must first complete tables 3 and 4 then transfer the result to table 2medical decision making mdm is a peer reviewed journal published 8 times a year offering rigorous and systematic approaches to decision making that are designed to improve the health and clinical care of individuals and to assist with health policy developmentin this ed charting and coding series we have covered introduction to ed charting and coding pv card the history of present illness and past medical family social history the review of systems and the physical exam at last we arrive at the crux of the chart medical decision making mdm in this final section you show your work and your thought processmedical decision making mdm mistakes are common here are the coding and documentation mistakes hospitalists make most often along with some tips on how to avoid them listing the problem without a plan healthcare professionals are able to infer the acuity and severity of a case without

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