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Wiki Where can I find what is required to be in a procedure note?

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tchantel

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Does anyone know where I can find out what needs to be in a specific procedure note? i.e: Laceration Repair note, Reduction, etc. We have providers stating the information is in the documentation but it isn't always complete. I was hoping there was something that spelled out what information needs to be included so we can give them exact feedback on what is missing.

Thank you in advance.
 
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