1. Documentation must be entered in a timely manner and must be decipherable to members of the healthcare team as well as other individuals who may need to review the information (e.g., auditors). Proper credit cannot be given for documentation that is difficult to read. 2.Information shou...
Detection of any cognitive impairment that the individual may have Review of an individual’s potential risk factors for depression, including current or past experiences with depression or other mood disorders, based on the use of an appropriate screening instrument for persons without a current diagn...
Reviewing/summarizing old medical record: 2 points Independent visualization: 2 pointsTotal points required Minimum: 0-1 Low: 2 Moderate: 3 high: >3 Note that you receive only one point for all the data you review in any one category. If you ordered or reviewed three different lab tests, ...
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CKD clinic and carrying at least one ICD code consistent with CKD as determined by a nephrologist) and 1214 controls (defined as women attending a prenatal screening visit at Columbia during the same time period that do not have any billing code consistent with CKD in their medical record). ...
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The primary end-point was age-related cataract, defined as an incident age-related lens opacity, responsible for a reduction in best-corrected visual acuity (BCVA) to 20/30 or worse, based on self-report confirmed by medical record review. Extraction of incident age-related cataract was a ...
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HLA-DQ2/DQ8 testing must not be done to “screen” or “diagnose” children with CD. Its use by pediatricians should be limited to children with anti-tTG greater than 10 × ULN, where the diagnosis of CD is being made on serology alone. A review of case referrals made to a tertiary ...
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