MDM is the whole RVU
Data reviewed, risk, and differential have to be visible. A thin HPI with a long list of orders is how 99285 becomes 99284 in audit.
Emergency Medicine
ESI, MDM, and critical care — time-based 99291 notes, AMA discharges, and ECG interpretations drafted before the next ambulance is unloaded.
The problem
Data reviewed, risk, and differential have to be visible. A thin HPI with a long list of orders is how 99285 becomes 99284 in audit.
99291 needs exclusive time and the interventions. If it is not in the note, the time did not happen.
Capacity, risks explained, and who left with the patient have to be explicit. A checked box is not an AMA note.
How Augustun fits
Chief complaint, focused exam, and MDM are drafted from the encounter while the case is still in your working memory.
Time-based critical-care notes and AMA discharges keep the legal elements from disappearing into the general ED chart.
ECG interpretation and patient-facing ED instructions are generated with the visit.
Critical-care notes, AMA notes, ECG interpretation, and ED discharge instructions.
Outcomes
1+
Hours saved per EM physician per shift on charts and instructions
99291
Critical-care time and interventions structured when documented
400+
EHRs via browser extension (Epic, Cerner, MEDHOST)
FAQ
Yes. Notes are drafted from the encounter so you review MDM before the patient leaves, not in a stack at 2 a.m.
Yes. Exclusive time and interventions discussed for the case are structured into a time-based critical-care note.
Yes. Capacity, risks, and patient-facing instructions are drafted as dedicated documents.
Free templates
Ready-to-use SOAP, BIRP, and specialty note templates you can copy into your workflow today.
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