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Wiki Credit for review copy/paste

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rdean

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When the physician pulls the lab/image results into the note, should credit be given as reviewed or should they document reviewed and/or any other relevant information? I read the AMA guidelines Analyze the process of using the data as part of the MDM- means to me they should document something relevant. Is there any clarification on copying in results and allowing credit given as reviewed? Thanks in advance
 
Hello, I am not an expert but my opinion is if MD copied and pasted the results. He also needs to state” I reviewed x-ray from June 1” and that will be sufficient to give him a credit for reviewing (if that’s the physician who did not bill previously for the same x-ray.)
 
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