MDM Tool

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Automatically generate Medical Decision Making levels and EHR text.

Reference Table:

Level 3 (Limited)
1 category required
Level 4 (Moderate)
1 category required
Level 5 (Extensive)
2 categories required
Review of prior external note(s) from each unique source Category 1:
2 items required
Category 1:
3 items required
Category 1:
3 items required
Review of the result(s) of each unique test
Ordering of each unique test
Assessment requiring an independent historian(s) Category 2:
1 item required
Independent interpretation of a test performed by another physician/other qualified health care professional (not separately reported) Category 2 Category 2
Discussion of management or test interpretation with external physician/other qualified health care professional/appropriate source (not separately reported) Category 3 Category 3

Please select all problems addressed.

Level 3 (Low)

Level 4 (Moderate)

Level 5 (High)

Level 3 (Limited) / Level 4 (Moderate) / Level 5 (Extensive)
Please update the following to determine level qualification.

Test, Documents, Independent Historians:

Independent interpretation of tests:

Discussion of management or test interpretation:

Please select a risk level. Both Level 4 and 5 provide additional selectable risk factors.

Low risk of morbidity from additional diagnostic testing or treatment

Moderate risk of morbidity from additional diagnostic testing or treatment

Please select risk factors:

High risk of morbidity from additional diagnostic testing or treatment

Please select risk factors:

Problems Data Risk Final
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