PSYMED SOLUTIONS
BILLING COMPLIANCE DEPARTMENT
CODING CALCULATOR

PROVIDER:[select name="PROVIDER" value="Satish Narayan|Humaira Khalid|Nisha Satish|Mallory George|Vivian Kisanga|April Monarrez|Judith Olepere"]

[comment memo="TYPE PATIENT NAME, ACCOUNT NUMBER, DATE OF BIRTH AND DATE OF SERVICE"]

[textarea name="variable_1"]
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PROBLEM POINTS:

# OF MINOR PROBLEMS = [select name="minor" value="0=0|1=1|2=2"]
# OF STABLE PROBLEMS = [select name="stable" value="0=0|1=1|2=2|3=3|4=4"]
# OF UNSTABLE PROBLEMS = [select name="worse" value="0=0|1=2|2=4|3=6|4=8"]
# OF NEW PROBLEMS WITHOUT LABS = [select name ="newno" value="0=0|1=3|2=6|3=9"]
# OF NEW PROBLEMS WITH LABS = [select name="newyes" value="0=0|1=4|2=8"]

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DATA POINTS:

#1.) Reviewed External Records = [select name="tests" value="0=0|1=1"]
[comment memo="External records are from other healthcare organizations, i.e, PDMP"]

#2.) Reviewed Test Results = [select name="decision" value="0=0|1=1 |2=2|3=3|4=4"]
[comment memo="Tests are imaging, laboratory, psychometric, or physiologic data. Lab Panels are counted separately"]

#3.) Ordered Test = [select name="visual" value="0=0|1=2|2=4|3=6|4=8"]
[comment memo="Tests are imaging, laboratory, psychometric, or physiologic data. Lab Panels are counted separately"]

#4.) Assessment requiring Independent Historian = [select name="summary" value="0=0|1=1"]
[comment memo="Independent Historian is family or caregiver"]

#5.) Discussion with external professional = [select name="collateral" value="0=0|1=1|2=2"]
Coordinated with PCP = [select name="discussion" value="0=0|1=2|2=4|3=6|4=8"]
[comment memo="External physician is an individual who is not in the same group practice"]
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RISK OF MORBIDITY:
[comment memo="HIGH = Drug therapy requiring intensive monitoring for toxicity
MODERATE = Prescription drug management OR treatment limited by social determinants of health
LOW = Low risk of morbidity if untreated"]
[select name="risk" value="None=1|Low=2|Moderate=3|High=4"]

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[comment memo="Choose the code listed twice. If all three are different then pick the median."]

1: [calc value="score2=(minor)+(stable)+(worse)+(newno)+(newyes);score2>3?'Problem status is High (Level 5)':score2>2?'Problem status is Moderate (Level 4)':score2>1?'Problem status is Low (Level 3)':'Problem status is Minimal (Level 2)'"]
2: [calc value="score3=(tests)+(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)'"]
3: [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)'"]
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DATE:[date name="variable_1" default="06/14/2020"]
CODER: [select name="variable_1" value="Tawnee Little"]