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Last Modified: 1/16/2025 Location: FL, PR, USVI Business: Part A, Part B

Amount and/or complexity of data

Q. When reviewing the amount and/or complexity of data to be reviewed and analyzed section, how are each unique source* and each unique test* in Category 1 counted?
A. The AMA Levels of Medical Decision Making table external pdf file indicates *Each unique test, order, or document contributes to the combination of two or combination of three in Category 1”, with levels and guidelines for Category 1 as follows:

Limited

(Must meet the requirements of at least 1 out of 2 categories)
Category 1: Tests and documents
Any combination of 2 from the following:
Review of prior external note(s) from each unique source*;
Review of the result(s) of each unique test*;
Ordering of each unique test*

Moderate

(Must meet the requirements of at least 1 out of 3 categories)
Category 1: Tests, documents, or independent historian(s)
Any combination of 3 from the following:
Review of prior external note(s) from each unique source*;
Review of the result(s) of each unique test*;
Ordering of each unique test*;
Assessment requiring and independent historian(s)

Extensive

(Must meet the requirements of at least 2 out of 3 categories)
Category 1: Tests, documents, or independent historian(s)
Any combination of 3 from the following:
Review of prior external note(s) from each unique source*;
Review of the result(s) of each unique test*;
Ordering of each unique test*;
Assessment requiring and independent historian(s)
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