A physician’s MDM data work includes reviewing external notes, using an independent historian, and ordering unique tests. Which statement best reflects data-element credit?
Select an answer to reveal the explanation.
Short Explanation
Data points are like stamps on a passport: independent historian, outside notes, unique tests—each can count when you document them. Don’t invent double credit for the same unique test.
Full Explanation
Data for MDM can include categories such as review of external notes, assessment requiring an independent historian, and ordering or reviewing unique tests, counted per current MDM guidance. Consumer app readings alone do not replace documented clinical data work. Coders should avoid improper double counting of the same unique test as both order and review beyond what guidelines allow.