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How to Code Correctly for E/M Services (1995 and 1997 Guidelines)

How to Code Correctly for E/M Services (1995 and 1997 Guidelines). General Principles of Documentation. Medical record should be complete and legible Each encounter should include Reason for the encounter Assessment, impression or diagnosis Plan for care Date and identity of observer.

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How to Code Correctly for E/M Services (1995 and 1997 Guidelines)