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Writers: Fritz Gra?hoff.
Nursing documentation is a vital component of safe, ethical and effective nursing practice, regardless of the context of practice or whether the documentation is paper-based or electronic. This document is intended to provide registered nurses (RNs) with guidelines for professional accountability in documentation and to.
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2. E/M Services Providers. 3. EVALUATION AND MANAGEMENT (E/M) BILLING AND. CODING CONSIDERATIONS. 4. Selecting the Code that Best Represents the Service Furnished. 4. Other Considerations. 18. REFERENCE SECTION. 19. Resources. 19. 1995 Documentation Guidelines for Evaluation and Management
The documentation guidelines were designed by Medicare to define content of documentation for History, Physical Examination and Medical Decision Making. The Guidelines were initially developed and published in 1995 with general content requirements for each of the key elements of the Evaluation and Management
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