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In conclusion the MMSE offers modest accuracy with best value for ruling-out a diagnosis of dementia in community and primary care. For all other used it should be combined with or replaced by other methods.
The physician administration, interpretation and written report associated with the MMSE is included in the E/M code for the patient encounter and cannot be billed separately.
25-30 points: normal cognition. 21-24 points: mild dementia. 10-20 points: moderate dementia. 9 points or lower: severe dementia.
The MMSE is a tool that has been available to the public for free for almost 50 years. If you would like to regain access our free, online MMSE, please email PAR Inc's Permissions Director, Vicki McFadden and request that we be given permission to re-publish the tool.
One of the most commonly recognized screening tools for dementia is the Mini-Mental State Examination (MMSE), a proprietary screening test whose intellectual property rights are owned by Psychological Assessment Resources.
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The maximum score for the MMSE is 30. A score of 25 or higher is classed as normal. If the score is below 24, the result is usually considered to be abnormal, indicating possible cognitive impairment.
The Mini\u2010Mental State Examination (MMSE) is the best\u2010known and the most often used short screening tool for providing an overall measure of cognitive impairment in clinical, research and community settings.
The change could also have an impact on clinical care, as physicians are technically required to purchase an MMSE form that costs $1.23 for each patient evaluated -- despite the fact that many can perform the 30-question battery from memory, Newman said.
The MMSE had been freely available since its initial publication in 1975, but in 2000, its authors -- Marshal Folstein, MD, Susan Folstein, MD, and Paul McHugh, MD -- transferred the copyright to a company they founded, which then licensed the test to PAR in 2001.
Mini-Mental State Exam (MMSE) and the Mini-Cog test The maximum MMSE score is 30 points. A score of 20 to 24 suggests mild dementia, 13 to 20 suggests moderate dementia, and less than 12 indicates severe dementia. On average, the MMSE score of a person with Alzheimer's declines about two to four points each year.

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