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********************* CODING **********************

PROVIDER: [select name="variable_1" value="Ashley Burns|Billie Morgan|Derenda Beasley|Kelly Kilcrease|Nathan Schneider|Precious Barnes|Shawn Howard|Sonata Poon|Valerie Baunoch "] DOS: [date name="variable_3"]

PROBLEMS:
A.) Stable = [select name="minor" value="0=0|1=1|2=2"]
B.) Improving = [select name="stable" value="0=0|1=1|2=2|3=3|4=4"]
C.) Unchanged = [select name="unchanged" value="0=0|1=2|2=4|3=6|4=8"]
D.) Worsening = [select name="worse" value="0=0|1=2|2=4|3=6|4=8"]
E.) New = [select name ="newno" value="0=0|1=3|2=6|3=9"]

DATA:
F.) Checked PDMP = [select name="Records" value="0=0|1=2"]
G.) Tests Ordered = [select name="decision" value="0=0|1=1 |2=2|3=3|4=4"]
H.) Results Reviewed = [select name="visual" value="0=0|1=2|2=4|3=6|4=8"]
I.) Screening Tests = [select name="summary" value="0=0|1=1|2=2|3=3|4=4"]
J.) Requested Records = [select name="collateral" value="0=0|1=1|2=2"]
K.) Records Reviewed = [select name="discussion" value="0=0|1=2|2=4|3=6|4=8"]

RISK:
L.) Level: [select name="risk" value="None=1|Low=2|Moderate=3|High=4"] due to [text name="variable_2"]

INTERPRETATION:
[calc value="score2=(minor)+(stable)+(unchanged)+(worse)+(newno);score2>4?'Problems Addressed is High (Level 5)':score2>3?'Problems Addressed is Moderate (Level 4)':score2>2?'Problems Addressed is Low (Level 3)':'Problems Addressed is Minimal (Level 2)'"]
[calc value="score3=(Records)+(decision)+(visual)+(summary)+(collateral)+(discussion);score3>3?'Data Review is High (Level 5)':score3>2?'Data Review is Moderate (Level 4)':score3>1?'Data Review is Low (Level 3)':'Data Review is Minimal (Level 2)'"]
[calc value="score4=(risk);score4>3?'Risk is High (Level 5)':score4>2?'Risk is Moderate (Level 4)':score4>1?'Risk is Low (Level 3)':'Risk is Minimal (Level 2)'"]

FINDINGS:
[comment memo="DO NOT COPY AND PASTE THE RECORD.
Conflicting information,Inactive, Deferred, unrelated problems, coding errors"]
[textarea name="variable_99"]

RECOMMENDATIONS:
[comment memo="FEEDBACK FOR THE PROVIDER"]
[textarea name="variable_100"]

ACTIONS:
[comment memo="LIST DIAGNOSES REMOVED FROM THE CLAIM AND ANY OTHER ACTIONS YOU TOOK"]
[textarea name="variable_101"]

PROBLEMS: [calc value="score2=(minor)+(stable)+(unchanged)+(worse)+(newno);score2>4?'99215':score2>3?'99214':score2>2?'99213':'99212'"] | DATA: [calc value="score3=(Records)+(decision)+(visual)+(summary)+(collateral)+(discussion);score3>3?'99215':score3>2?'99214':score3>1?'99213':'99212'"] | RISK: [calc value="score4=(risk);score4>3?'99215':score4>2?'99214':score4>1?'99213':'99212'"]
********************* CODING **********************

PROVIDER: DOS:

PROBLEMS:
A.) Stable =
B.) Improving =
C.) Unchanged =
D.) Worsening =
E.) New =

DATA:
F.) Checked PDMP =
G.) Tests Ordered =
H.) Results Reviewed =
I.) Screening Tests =
J.) Requested Records =
K.) Records Reviewed =

RISK:
L.) Level: due to

INTERPRETATION:
score2=(minor)+(stable)+(unchanged)+(worse)+(newno);score2>4?'Problems Addressed is High (Level 5)':score2>3?'Problems Addressed is Moderate (Level 4)':score2>2?'Problems Addressed is Low (Level 3)':'Problems Addressed is Minimal (Level 2)'
score3=(Records)+(decision)+(visual)+(summary)+(collateral)+(discussion);score3>3?'Data Review is High (Level 5)':score3>2?'Data Review is Moderate (Level 4)':score3>1?'Data Review is Low (Level 3)':'Data Review is Minimal (Level 2)'
score4=(risk);score4>3?'Risk is High (Level 5)':score4>2?'Risk is Moderate (Level 4)':score4>1?'Risk is Low (Level 3)':'Risk is Minimal (Level 2)'

FINDINGS:
DO NOT COPY AND PASTE THE RECORD.
Conflicting information,Inactive, Deferred, unrelated problems, coding errors



RECOMMENDATIONS:
FEEDBACK FOR THE PROVIDER


ACTIONS:
LIST DIAGNOSES REMOVED FROM THE CLAIM AND ANY OTHER ACTIONS YOU TOOK


PROBLEMS: score2=(minor)+(stable)+(unchanged)+(worse)+(newno);score2>4?'99215':score2>3?'99214':score2>2?'99213':'99212' | DATA: score3=(Records)+(decision)+(visual)+(summary)+(collateral)+(discussion);score3>3?'99215':score3>2?'99214':score3>1?'99213':'99212' | RISK: score4=(risk);score4>3?'99215':score4>2?'99214':score4>1?'99213':'99212'

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