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  • Services to which general and specific evaluation and management (E/M) guidelines apply.

  • Concepts of new versus established patient and initial versus subsequent encounter.

  • Current Procedural Terminology (CPT®) terms and definitions used in determining a level of E/M service based on a physician’s or other qualified health care professional’s (QHP’s) total time on the date of an encounter (regardless of the percentage spent in counseling and/or coordination of care) or on medical decision-making (MDM).

  • Appropriate use of total time for reporting services provided as a teaching physician, when applicable.

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