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E&M visit billed no exam documented

D

dgerry

Networker
Messages
27
Location
Delmar, NY
For an established patient visit you only have to meet 2 out of the 3 components to determine the billable level of service - BUT - is it okay to completely skip documenting any physical examination and still bill an E&M based upon the history and medical decision making? Thanks for your help!
 
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