First of all, a chief complaint is required for all E/M.
The CC you listed are not going to be acceptable. We were advised to have our MA write Evaluation and Management of... and then ask the pt what they are being seen for... and then finish the statement E/M of headaches, 2 weeks, throbbing, etc.
This does not have to be in the patient's own words, but it does have to be there. The MD can complete the CC if the MA does not.
We have a joke that F/Us are not acceptable. Also, no BP checks, med refills, etc. You must have a sign, symptom, REASON for the visit. The dr said to F/U is not a reason. F/U for what? I had a cold last week... well then, "had a cold last week" is a CC or ask what symptoms are bringing them to the dr.
Hope that helps.
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