Scoring the encounter In scoring an encounter the program first
score the Hx (History), then
score the PEx.(physical
examination) and then
the MDM (Medical Decision
Making).
The Medical Decision Making includes, The Number of DxorManagement
Options, the Data Gathering and Review andThe Risk of
Complication, Morbidity
and
Mortality.
To determine the risk, one must select the level of risk of the Presenting problem, the Diagnostic
procedures ordered and the
Management
selected.
Hx
Physical
Medical
Decision Making
1-
Number of
Diagnosis or management options
2 -DG & R
3 -Risk
a
-Presenting
Problem/s
b
-Diagnostic
procedures ordered
c
-Management
selected
The program scores the history(Hx),
the physical examination
(P.Ex) and the data
gathering and review(DG & R) from the data you enter in the
encounter record. See
the movie