ED Coding and Reimbursement Alert
Reader Question:
Coding Medical Decision-making
Published on Wed Mar 01, 2000
Question: When determining the level of medical decision-making and considering the number of diagnoses and management options, must the patient be admitted to qualify for new problem, additional work-up planned? Can you provide examples of when you can achieve this?
Tracy Bondi, RN
MBSI Physician Educator
Modesto, Calif.
Answer: No, the patient does not have to be admitted to the hospital. Additional work-up can include transfer to another facility (i.e., another hospital, nursing home, etc.), a scheduled appointment with a specialist for further evaluation and/or diagnostic testing.
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