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EM Coding Alert

Documentation:

Bolster Patient Records With Accurate Documentation

Published on Thu Feb 23, 2023

Hint: Medical record notes should include both reason for encounter and plan of care. Comprehensive documentation is key to establishing and maintaining accurate medical records for patients, as well as ensuring timely and accurate payment for providers. Payers and auditors look to providers’ notes for the details to support medical necessity, accurate and appropriate evaluation and management (E/M) service levels, [...]
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