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Medicare recently announced the adoption of minimum documentation criteria for the neurologic examination.These criteria are added to existing standards for the history and medical decision-making.These criteria will be used in compliance audits by Medicare and other payors.Given the current federal initiative to eliminate fraud in the Medicare program,all neurologists need to comply with these standards.These criteria are for documentation only.Neurologic standards of care require a more complex and diverse examination pertinent to the problem(s)under consideration.Further guidance as to the content of a neurologic evaluation is outlined in the article"Practice guidelines:Neurologic evaluation"(Neurology 1990;40:871). The level of history and examination required for specific services is defined in the American Medical Association current procedural terminology book.Documentation standards for examination of children are not yet defined. |
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