AI-Powered Physician Academy

Course 7 · Enrolling now · Nelson Spinetti, MD

MDM Mastery: Level 4 vs Level 5

A memory system for coding the level you earned — no more, no less.

Six short video lessons — about 10 minutes in total — turn the AMA medical decision making table into memory hooks you can run in 10 seconds at the end of every visit: P·D·R Pick Two, 2·3·Rx, S·E·H and “document what made you think.” Then practice with a workbook of 10 synthetic cases, an interactive MDM Level Check and an AI-scribe reconciliation prompt.

Enroll — $97See the curriculum

$97 · 6 short video lessons · instant access

The problem

Why good physicians still code the wrong level

  • Level 4 visits get under-coded because a stable visit feels simple.
  • Level 5 visits get over-coded because one impressive element seems like enough.
  • Notes record what was done, not what made the decision complex.
  • AI scribes suggest a code without showing their arithmetic.

The memory system

Four hooks you can run in 10 seconds

  1. 1

    P·D·R — Pick Two

    Problems, Data, Risk. Two of the three set the level. Cross out your best column; the next best is your level.

  2. 2

    Level 4 = 2 · 3 · Rx

    Two chronic problems (or one getting worse) · any three data items · a real prescription decision. Any two make a four.

  3. 3

    Level 5 = S · E · H

    Severe problem · Extensive data (two of three buckets) · H³: hospital, high-risk surgery, high-toxicity drug monitoring. Any two make a five.

  4. 4

    Document what made you think

    Status, impact and response for every problem — so the note shows the complexity you actually managed.

Curriculum

6 short video lessons

  • L1The Engine: P·D·R, Pick Two
  • L2Level 4: Two · Three · Rx
  • L3Level 5: S · E · H
  • L4The Traps and the 10-Second Algorithm
  • L5Document What Made You Think
  • L6Your AI Scribe and the Memory Card

What's inside

What you'll work with

  • 6 short video lessons with on-screen captions (English)
  • Printable MDM memory card
  • Fillable workbook with 10 synthetic cases and a 12-question self-check
  • Answer key with the reasoning for every case
  • Interactive MDM Level Check (Problems · Data · Risk · Time)
  • AI-scribe MDM reconciliation prompt and full transcript

Enrollment

Choose your option

Self-paced

$97

One clinician · pay in full

  • 6 video lessons
  • Memory card, workbook, answer key and transcript
  • MDM Level Check and AI-scribe prompt
Enroll

Clear boundaries

What this course is not

  • Not coding, billing, legal or compliance advice.
  • Teaches the AMA CPT® office and outpatient E/M framework (99202–99215); payer rules can differ.
  • No guarantee of payment or audit outcomes.
  • Synthetic cases only — never enter patient information.

FAQ