The physician documents that the patient has a cough, fever, and muscle aches. A review of systems is performed, a detailed account of present illness is documented, and the physician outlines the management options, complexity of treatment plan, and orders tests. What key E/M component is missing from this documentation?
What will be an ideal response?
Physical exam
Health Professions
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What will be an ideal response?
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a. true b. false
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