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Denial Reason #3: Cloned or Templated Notes EHR systems that auto-populate or carry forward documentation create what payers call "cloned notes." When your 90791 intake reads identically to another patient's evaluation, or your template language wasn't modified with patient-specific details, it gets flagged

It typically takes between four and eight weeks of consistent use, alongside healthy lifestyle habits, to notice subtle improvements in energy or mental clarity

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