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E/M DOCUMENTATION AUDITORS’ WORKSHEET …

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E/M DOCUMENTATION auditors WORKSHEET 1995 guidelines Member Last Name or Identifying Number ________________ Provider Name _____________________ Date of Service ______________________________ Procedure Code(s) Reported ___________________________ Auditor Agrees Auditor Disagrees Code Assigned by Auditor ______________ Record Audited by Date E/M DOCUMENTATION auditors Instructions Refer to data section (table below) in order to quantify.

E/M DOCUMENTATION AUDITORS’ WORKSHEET 1995 Guidelines Member Last Name or Identifying Number _____ Provider Name _____ Date of Service

  Worksheet, Guidelines, Documentation, Auditors, 1995, Documentation auditors worksheet, Documentation auditors worksheet 1995 guidelines

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