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There Are Principles for Documentation for Evaluation and Management (EM)

question 6

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There are principles for documentation for Evaluation and Management (EM) services, and according to CMS, the nature and amount of physician work and documentation will vary based on:

Recognize the role of practice management software in the administrative and financial operations of a medical practice.
Utilize time management tools (e.g., time zone maps) for scheduling and making long-distance communications.
Implement proper procedures for handling unusual occurrences and threatening calls to ensure safety and compliance.
Apply effective communication techniques, including HEAT and THINK acronyms, to maintain professionalism and patient satisfaction.

Definitions:

Significance Level

The probability of rejecting the null hypothesis when it is true, often denoted by alpha (α).

Chance

The occurrence of events in the absence of any deliberate intention or predictable causation, often used to describe random variability in data.

Confidence Interval

A range of values derived from sample data that is likely to contain the true population parameter with a certain level of confidence.

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