imaginethat23
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Our providers see patients in hospital and nursing facility settings and several providers will list every single problem the patient has in their A&P, even if they are not addressing all problems during that day's visit. Just listing the problem in the A&P section wouldn't qualify as counting it in the MDM section, correct? The provider would specifically have to address that issue in order for it to count? I also see notes where they make a change to one of the problems listed in the A&P section but there is no mention of it in the CC or history to explain why.
Thank you in advance. I'm still learning the "gray areas" of E&M and trying to master them has been no easy task.
Thank you in advance. I'm still learning the "gray areas" of E&M and trying to master them has been no easy task.