Part of the issue would depend on any payer policies. Typically (in the Medicare view), physician work plays no bearing on the facility charges or E&M level. Since you mentioned an electronic record, there should be documentation that shows ancillary staff involvement (e.g., taking of vitals, etc). I would incorporate that into my documentation for the facility portion. However, assuming that your physicians' overhead is carried by the hospital, it reasons that their individual notes also support the E&M reported by the facility--in a more distant sense.
If I were the auditor on the payer side verifying the appropriateness of these charges, I would expect to see both the nursing notes and physician notes. If any additional services were provided during the visit, I would expect to see those records as well.
Out of curiosity, why is Modifier -25 appended to the first line item? I do not see additional CPT reported for this, although perhaps you've left off those for some reason.
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