Don, what I want is for Todd to say it is happening to him and that it affects his work. I am wanting for you to say we are crazy and that it does stick AND that you want them to stick. It is good that for all three of us DAW does not hold its setting.

The complexity does show up in the note if you choose for it to under preferences:

[Linked Image from amazingcharts.com]

If you forget this setting is on, it will show in all of your notes making them fraudulent if those particular notes are used. It is hard to print the MREs.

The problem, as I have stated for 11 years, is that if you do want to check it off, the location of it coupled with the fact that it is not required like checking off the CPT code, makes it simple to forget it. Worse, once set for one note to High Complexity means the chance of leaving it as the default rather high. Having to check it off would make you have to make a decision.

This would create a problem as many users would not wish to have to check it, just as now you could select not to. My feeling is it should have to be checked or not be there, because there is just no way you are going to select it each time.

As you stated in your last paragraph, you do not want it to stay. But, chances are if it did, it would stay on the wrong setting.

The best way (in my opinion) would be to have it default to low complexity, but be in a position where you have to see it. Then you could choose medium or high and let it default back to the minimum complexity each time. To be honest, I am not really sure the best way to do it, but the way it is now, it is not ideal. I have had multiple acute otitis medias show up as medium complexity because I forgot to change it.

This is why I have these two questions. To discuss a topic that has never been discussed.


Bert
Pediatrics
Brewer, Maine