If a patient sees multiple providers for different aspects of care, the condition being managed by another provider is considered toward the level only if what?

If a patient sees multiple providers for different aspects of care, the condition being managed by another provider is considered toward the level only if what?

• A. There is additional documentation showing assessment or care coordination regarding that diagnosis
• B. If the note simply states the condition exists
• C. It is never considered toward the level
• D. It is always considered toward the level

Answer: (A)

Coordinated care across multiple providers is included toward the level only when there is documentation of assessment or care coordination for that diagnosis. In other words, if a patient has a condition managed by another clinician, you can count it toward the level only if the chart shows that this condition was actively assessed or that there was a care coordination plan (such as notes from the other provider, a referral, test results, or a treatment plan) tied to that diagnosis. If the note merely states the condition exists with no further evaluation, plan, or coordination, it does not count toward the level.

Coordinated care across multiple providers is included toward the level only when there is documentation of assessment or care coordination for that diagnosis. In other words, if a patient has a condition managed by another clinician, you can count it toward the level only if the chart shows that this condition was actively assessed or that there was a care coordination plan (such as notes from the other provider, a referral, test results, or a treatment plan) tied to that diagnosis. If the note merely states the condition exists with no further evaluation, plan, or coordination, it does not count toward the level.