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3) Assessment and plan that prove active management Write the plan in a way that makes the diagnostic and treatment program obvious: Diagnosed : primary condition + status such as stable, progressing, suspected Interpreted : key findings that changed risk, such as RNFL thinning and IOP trend Managed : medication decision, test order, referral, procedure plan Scheduled : follow-up interval tied to disease stage and risk A payer can disagree with a clinical decision

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