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Wiki Initialing and dating changes in medical record/CMN

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raptcatt

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As a coder, I know we are all aware of proper documentation and its procedures. However, I have been asked where this is written down. Does anyone know? I already have looked at what AHIMA says about a legal document and the 1995 and 1997 Guidelines concerning E/M.

Thanks,
Melissa, CPC-A
 
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