Last Modified: 9/1/2018 Location: FL, PR, USVI Business: Part A, Part B
Evaluation and Management - review of old records
Q. Can I refer to someone else’s dictated note and get credit for those parts of the history I reviewed?
A. Yes – the documentation guidelines for evaluation and management (E/M) services indicate that medical decision making may include a decision to obtain old records or a decision to obtain additional information from other sources.
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