In an urgent care facility setting some of the providers are submitting Level 4 codes (99204, 99214) documenting Complete Histories, Complete ROS and Complete Exams for both new and established patients who come in to be seen for complaints diagnosed as allergic rhinitis, sinusitis, sore throat, uti-no complications, contusion of finger. Although the documentation will support the Level 4 with moderate MDM using the 1995 E/M Guidelines, I'm questioning the medical necessity of the documentation for what seems to be more problem focused HPI. Can someone please clarify the importance of medical necessity in medical records documentation? Is there such a thing as "too much" documentation, especially with EMR?