The Efficient MD - Latest Comments in What is High Complexity Medical Decision Making?

Re: What is High Complexity Medical Decision Making?

kayla — Sat, 04 Oct 2008 11:46:37 -0000

I agree very much with what was said above. I also think it is hard to find a good doctor that cares about his patients that is not passive. Some of them not sure what is wrong so they shrug it off like it is nothing. Our son was born last dec. with esophageal atresia and our surgeon has been in practice for many years and has only done like four or 5 primary repairs our son being one of them. But never has he been passive to us he has always been there and made sure we understand everything even if it means him taking time out of his day to have a meeting with us. I want to thank you for all your input i enjoy reading all of this stuff.

Re: What is High Complexity Medical Decision Making?

Huck — Mon, 03 Sep 2007 14:59:00 -0000

Ah, so essentially any clinic visit I have with any of my patients is high complexity, and that's coming from "knuckle dragging" cardiologist. I think that we, as physicians undercode (perhaps deliberately) out of fear of fraud. Every new consult is a level 5, but every return visit is a level 3.

Even at the VA this is important (coding) because we measure "work" by coding such that if your clinic is really busy, you can justify asking for another nurse or tech if you are really cranking out the effort. Also, more veterans with private insurance is choosing the VA over their local choices (especially if they live less than 2 hours away and the choice is between a tertiary care VA and their local small hospital.