rcbaker
Networker
Hello,
Please with me understand the Exam and MDM
First question: On the audit tool for the ortho under the 1997 guidelines, it states to 2 from each 9. What does this mean and please give me an example?
Second question:
If a provider order surgery for a pt does this go under level of risk moderate?? because in the note he states he recommend CTR and he explains the risk to the patient.
third question: How would arrive at an exam level,please explain to me so I can understand?
Examination:
Physical examiniation; psy patient is alert and oriented x3, NAD. Skin: healthy, normal color, temp and texture, no lesions. Subjective sensation decreased r thumb, decreaed R IF, decreased R MF. Cardiovascular bilat wrist with palpable pulses, digits with cap refil<3 sec. Neuro RUE+tinel at wrist,+ phalens. Neuro LUE+tinel at wrist,+phalens. muscle strength/tone R thenar atrophy-mild, L thenar atrophy-mild. palpation, tenderness no obvious masses, crepitations or tenderness bilat wrists. A1 pulley tenderness no tenderness. randge of motion able to oppose thumb bilat. stability UE no obvious dislocation, subluxation or laxity to either UE. xrays bilat wrist/hands without carpal masses, fractures or dislocations.
Hand examination
A1 pulley tenderness--interosseous muscle--thumb oppostion--phalen's test--tinel's test--carpal tunnel compression test--thenar atrophy-- finkelstein test--thumb cmc joint--grind test--epicondylar tenderness--scapolunate tenderness--DRUJ tenderness--Snuffbox tenderness--weak abduction--long finger extension test--subjective sensation--range of motion--APB strength.
Please with me understand the Exam and MDM
First question: On the audit tool for the ortho under the 1997 guidelines, it states to 2 from each 9. What does this mean and please give me an example?
Second question:
If a provider order surgery for a pt does this go under level of risk moderate?? because in the note he states he recommend CTR and he explains the risk to the patient.
third question: How would arrive at an exam level,please explain to me so I can understand?
Examination:
Physical examiniation; psy patient is alert and oriented x3, NAD. Skin: healthy, normal color, temp and texture, no lesions. Subjective sensation decreased r thumb, decreaed R IF, decreased R MF. Cardiovascular bilat wrist with palpable pulses, digits with cap refil<3 sec. Neuro RUE+tinel at wrist,+ phalens. Neuro LUE+tinel at wrist,+phalens. muscle strength/tone R thenar atrophy-mild, L thenar atrophy-mild. palpation, tenderness no obvious masses, crepitations or tenderness bilat wrists. A1 pulley tenderness no tenderness. randge of motion able to oppose thumb bilat. stability UE no obvious dislocation, subluxation or laxity to either UE. xrays bilat wrist/hands without carpal masses, fractures or dislocations.
Hand examination
A1 pulley tenderness--interosseous muscle--thumb oppostion--phalen's test--tinel's test--carpal tunnel compression test--thenar atrophy-- finkelstein test--thumb cmc joint--grind test--epicondylar tenderness--scapolunate tenderness--DRUJ tenderness--Snuffbox tenderness--weak abduction--long finger extension test--subjective sensation--range of motion--APB strength.