Every patient encounter is a puzzle of evaluation, diagnosis, treatment, and follow-up. Mastering the Elements of Medical Decision Making gives clinicians and coders the tools they need to navigate this complexity with confidence.
Inside this practical guide, you will learn how to:
Identify and document problems accurately, from acute complaints to complex chronic conditions
Analyze and incorporate relevant data, including labs, imaging, outside records, and independent histories
Assess risk thoughtfully and create clear, actionable follow-up plans
Avoid common documentation pitfalls while reflecting your clinical reasoning
Integrate problems, data, and risk into real-world notes that stand up to scrutiny
Written by Brad Laymon, PA-C, CPC, CEMC, a nationally recognized expert in MDM and clinical documentation, this book bridges the gap between medical reasoning and effective, compliant documentation. Perfect for urgent care and primary care clinicians, physician assistants, and medical coders, it helps you document smarter, code accurately, and deliver the best patient care possible.
Take control of your notes, strengthen your documentation, and master medical decision making — one patient at a time.