terribo
Networker
We have had a few questions from providers in regard to the following definitions listed under the section Number & Complexity of Problems Addressed
1. Chronic illness with exacerbation, progression, or side effects of treatment
2. Chronic illness with severe exacerbation, progression, or side effects of treatment
Per the definition from the AMA for the above problems:
!. Chronic illness with exacerbation, progression, or side effects of treatment: A chronic illness that is acutely worsening poorly controlled or progressing with an intent to control progression and requiring additional supportive care or requiring attention to treatment for side effects, but that does not require consideration of hospital level of care.
2. Chronic illness with severe exacerbation, progression, or side effects of treatment: The severe exacerbation or progression of a chronic illness or severe side effects of treatment that have significant risk of morbidity and may require hospital level of care.
The question I am having from our Orthopedic Specialist: What problem(s) will constitute significant risk of morbidity and may require hospital level of care from an Orthopedic standpoint? What scenarios will the problem "Chronic illness with severe exacerbation, progression, or side effects of treatment" fall under for the Orthopedic Specialty?
1. Chronic illness with exacerbation, progression, or side effects of treatment
2. Chronic illness with severe exacerbation, progression, or side effects of treatment
Per the definition from the AMA for the above problems:
!. Chronic illness with exacerbation, progression, or side effects of treatment: A chronic illness that is acutely worsening poorly controlled or progressing with an intent to control progression and requiring additional supportive care or requiring attention to treatment for side effects, but that does not require consideration of hospital level of care.
2. Chronic illness with severe exacerbation, progression, or side effects of treatment: The severe exacerbation or progression of a chronic illness or severe side effects of treatment that have significant risk of morbidity and may require hospital level of care.
The question I am having from our Orthopedic Specialist: What problem(s) will constitute significant risk of morbidity and may require hospital level of care from an Orthopedic standpoint? What scenarios will the problem "Chronic illness with severe exacerbation, progression, or side effects of treatment" fall under for the Orthopedic Specialty?