4. 5. 6.
Link to Dx #
Treatment Provided:
1. 2. 3. 4. 5. 6.
Assess accuracy/completeness of documentation:
(Y/N, if no, list problems)
Are all documents legible?
Is additional documentation needed to support diagnoses (as documented by physician, or possible diagnoses identified by coder)? (Y/N) Propose wording for compliant physician query, if needed.
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