I need some help. I have an MD who states that all pages in the medical record do not need to be signed/initialed. The page in question: the patient is given a form to fill out for the cheif complaint, and the locations, severity, ect of the pain.... they physician is NOT signing/initialing this page that he reviewed it. I am telling him that that page cannot be used for his E/M leveling sinced he has not signed it. I have searched CMS.gov looking for documentation on this and cannot locate. Can someone please help?
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