Queizati
Networker
Our physicians regularly document in their assessment and plan management options such as:
"If no improvement with the above plan, consider LESI."
"Can consider SI joint injections based on findings on imaging"
"Consider MRI of the lumbar spine as indicated" (If an x-ray is ordered first during the visit)
"To assist with procedural and surgical decision making, an MRI and X-ray will be obtained)
Is this enough to give credit for the MDM component of Risk of Complications and/or Morbidity or Mortality of Patient Management using AMA's definitions of Risk and Risk of Complications and/or Morbidity or Mortality of Patient Management?
"If no improvement with the above plan, consider LESI."
"Can consider SI joint injections based on findings on imaging"
"Consider MRI of the lumbar spine as indicated" (If an x-ray is ordered first during the visit)
"To assist with procedural and surgical decision making, an MRI and X-ray will be obtained)
Is this enough to give credit for the MDM component of Risk of Complications and/or Morbidity or Mortality of Patient Management using AMA's definitions of Risk and Risk of Complications and/or Morbidity or Mortality of Patient Management?
AMA definitions:
Risk: The probability and/or consequences of an event. The assessment of the level of risk is affected by the nature of the event under consideration. Risk also includes MDM related to the need to initiate or forego further testing, treatment, and/or hospitalization.
The risk of complications and/or morbidity or mortality of patient management decisions made at the visit, associated with the patient’s problem(s), the diagnostic procedure(s), treatment(s). This includes the possible management options selected and those considered but not selected, after shared MDM with the patient and/or family.