September 2022 page 17
Questions and Answers
Evaluation and Management (E/M) Services Guidelines
Question: A physician or other qualified health care professional (QHP) reviews an electronic medical record (EMR) that contains a computed
tomography (CT) scan report, an operative note, and a pathology report that came from three different specialties within the
same hospital. Is this EMR considered a single unique source because all documents are from the same entity (the hospital)
or three independent unique sources of data because they came from three different specialties?
Answer: Review of outside records from a single source, in this case, hospital...
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