Identify the documentation guideline for amount and/or complexity of data you find most challenging. Please be specific about why this documentation guideline is challenging
What will be an ideal response?
Answers should specify one of the six documentation guidelines:
? Ordering diagnostic testing
? Reviewing diagnostic testing
? Obtaining old records
? Obtaining additional history from someone other than the patient
? Discussion of diagnostic results with physician who performed the diagnostic testing
? Independent visualization of image, tracing, or scan by physician performing the E/M service.
And identify at least two aspects of the documentation guidelines the reader finds challenging and why.
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