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How Could This Happen?

Documentation
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Hot Topics from the KMC University Helpdesk | June 22, 2021

Ever hear this, “It just started hurting Doc, nothing happened!”? Something happened, and to properly document medical necessity and bill a third-party payer, there must be a mechanism or injury. Here are some tips for uncovering what changed that caused the patient to seek care in the office and how to include this in your initial visit documentation properly.


 

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