- Evaluation and Management Services
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FAQs
- Admission and Discharge Services
- Advanced Care Planning
- Behavioral/Mental Health Services
- Chronic Care Management
- Complex and Chronic Care - HCPCS Code G2211
- Consultations
- Critical Care Services
- Documentation
- Emergency Department
- Examination
- Fee-For-Time Compensation Arrangements
- General E/M Information
- Global Period Services
- History
- IPPE and AWV Services
- Medical Decision Making
- New vs. Established Patients
- Nonphysician Practitioner Services
- Observation Services
- Preoperative Clearance
- Prolonged Services
- Provider Specialty
- Scribes
- Separately Identifiable Service
- Skilled Nursing Facility Services
- Smoking Cessation
- Split/Shared and Incident To Services
- Teaching Environment E/M Services
- Telehealth Services
- Time-Based Services
- Transitional Care Management
- Urgent Care
- Related Articles
What Should Be Provided if Medical Records Are Requested for Review?
The following should be considered if applicable to the service being reviewed. This is not intended to be an all-inclusive list.
- Progress/visit notes
- Physician orders
- Medication records
- Diagnostic test results (radiological studies, laboratory reports)
- History and physical
- Treatment plan if applicable
- Procedure reports
The information could also include previous dates of service that support the need for the date of service being requested.
Posted 9/30/2024