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Part B Insider (Multispecialty) Coding Alert

E/M Coding:
Make Your Documentation Problems Ancient History

3 payers share tips on what you should do if you can’t obtain a history from a patient. Examining a patient is typically straightforward for most practitioners—but getting the history can be a little trickier, particularly if the patient can’t speak and no family is present to fill in the blanks. But failure to obtain a history doesn’t mean your [...]