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Chiropractic Assistant

Documentation 181

Evaluation and Management Documentation Guidelines Made Simple Part 2


  • Recognize and apply E/M documentation requirements for medical decision making, to include levels of risk, problem points, and data points.
  • Calculate the appropriate levels of medical decision making based on complexity tables
  • Properly execute the appropriate documentation medical decision-making components necessary to meet E/M documentation requirements
  • Reproduce quality documentation elements necessary in new and established patient documentation
  • Compute, using appropriate algorithms, the levels of E/M coding based on documentation

Kathy Mills Chang, MCS-P, CCPC

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