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Otolaryngol Clin North Am 30(5):727743 Ross BG, Fradet G, Nedzelski JM (1996) Development of a sensitive clinical facial grading system

and, as noted above, the same medical necessity requirements are applied for POCs established with and without orders, with the exception that for those POCs established with an order, the medical reviewers may additionally look for documentation in the patient's medical record of the written order/referral and evidence that the POC was submitted to the physician/NPP within 30 days of the therapist's evaluation

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