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We considered asking the official to submit their MRF attestation directly to CMS, using a CMS developed template that would provide evidence of the accuracy and completeness of the MRF, and we also considered requiring the hospitals to post a more detailed attestation document that is signed by a senior official on the publicly available website that hosts the MRF

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A stronger note would say: Open bite wound of left hand caused by dog bite, initial treatment provided. That supports both the injury code and the external cause code

When 20610 May be Reported with an E/M Code Providers may report an E/M service on the same day as 20610 when a significant and separately identifiable evaluation is performed beyond the decision to perform the procedure