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Wiki auditing established patient

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hmagao

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Does anyone know if when auditing the exam portion, is it body area OR organ system, or is it body area AND organ system? Also, is a referral out to another physician considered "additional work-up"? :confused:

Any help appreciated.
Thank you
 
Just listened to E&M audit webinar put on by Novitas (medicare) and they stated in 95 guidelines, it was either or. You can rate both and chose which is most beneficial.
 
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