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data review

  1. R

    Wiki Evaluation and Management - data count

    Will it be right to say this plan has moderate data for 3 tests not ordered but may have been suggested or possible considered for this type of problem addressed? Impression: Cough (primary encounter diagnosis) Plan: Mother declined any testing (strep/flu/covid) for pt Mother just restarted...
  2. M

    Wiki "Obtain hx from someone other than patient"

    This phrase is in the "Amount and/or Complexity of Data Reviewed" for one point and also for two. It is my understanding the "someone" must be a medical provider to get to that second point. What is the degree the "someone" must have to get to that second point? Is obtaining a patient's history...
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