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E/M Coding:

Use This Documentation Trick for Independent Historian

Published on Fri Mar 06, 2026

Question: Our specialty practice sometimes sees pediatric patients, and often a parent/guardian provides a lot of the information pertinent to the presenting problem. I want to make sure the independent historian’s contribution goes toward evaluation and management (E/M) leveling. How can I educate providers on documentation of independent historian contributions so I can count it toward the E/M? Alabama Subscriber [...]
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