1995 CPT documentation guidelines more stringent. Use checklists, templates to prevent oversights.
D014487:Centers for Medicare and Medicaid Services, U.S.; D004282:Documentation; D004636:Emergency Service, Hospital / Q000458:organization & administration*; D005568:Forms and Records Control; D017408:Guidelines as Topic; D008487:Medical History Taking / Q000592:standards*; D008499:Medical Records / Q000592:standards*; D010358:Patient Participation; D014481:United States