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Is a provider able to “cut and paste” previously dictated examinations when following a patient for a chronic problem once it has been diagnosed?

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Is a provider able to “cut and paste” previously dictated examinations when following a patient for a chronic problem once it has been diagnosed?

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No, per the DG, the only elements that may be referenced from previous notes are the ROS and PFSH. All other elements must be performed and documented at each encounter. The exam portion of the encounter is the physical pertinent findings for the current visit related to the chief complaint.

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